Medicare Part B & Private Pay

Forever

Home’s services for are provided in your home (or virtually, as needed). Using our professional assessment tools and years of experience, we can provide a home evaluation and recommendations that are tailored to your specific needs. 

What services may be covered by Medicare Part B?

Medically Necessary services performed by a licensed occupational therapist, including:

• Home safety assessment / home accessibility assessment
• Falls assessment
• Follow-up training 

Home evaluations may be billed to Medicare Part B. In many cases, Medicare will pay for a certain number of visits to your home.

These visits will include assessments, information and education on how to:

• Increase home safety
• Increase the functionality of your home
• Fall prevention at home
• Preparing for future physical or health changes

These and other services are personalized to your particular situation or health condition.

Medicare Part B Qualification

These services may be covered under Medicare Part B if you:

• Are enrolled in the Medicare Program
• Have a physician referral for a home safety evaluation
• Have a medical condition that would qualify you to obtain a physical referral for a home safety evaluation (i.e., frequent falling)
• Require skilled occupational therapy services

What services are not covered under Medicare Part B?

• Services completed by a contractor including demolition, construction and installation of equipment.
• Adaptive and accessibility equipment such as grab bars, comfort height commodes, shower seats, etc. are not covered under traditional Medicare.  
• If you have a Medicare Advantage Plan (Medicare C), you may have some coverage for home safety / home modification equipment.  

 The client is responsible for any co-payment, coinsurance or deductible. 

Private Pay Services

Individuals who are seeking a home safety evaluation or home accessibility evaluation to prepare for aging in place or those who do not qualify for Medicare, are private pay clients.  

What are your goals?

• Do you want to eliminate or minimize your need to climb stairs outside or inside your house?
• Would you like an easier and safer way to use your bathroom? (doing all the things you need to do like bathing, toileting, grooming)
• Are you having more difficulty seeing and need ideas as to how to how you can make your home safer and activities easier for you?
• Are you buying a new home and need ideas as to how make it exactly what you need to stay there into the future? 

Pricing for Most Common Services

Ala Cart

• Home Evaluation & Recommendations – $300
• Meeting with Contractor – $100 per meeting
• Meeting with Client & Contractor – $100 per meeting
• Collaboration with contractor on project design – Starts at $250
• Onsite visit during remodeling or modification installations – $100 per visit
• Follow up Training & Education- $100 per session

Packages

Package 1: Home safety & remodeling

Our home safety & remodeling package includes what you will need to have your home evaluated and create a plan to make any necessary changes.

• Home Evaluation & Recommendations
• Meeting with Contractor
• Meeting with Client and Contractor
• Onsite visit during modification installations (1 visit)
• Follow up Training and Education (1 visit)

COST:  $450 – $300 Savings

Package 2: Concierge home safety & remodeling

A larger package that includes more hand-holding and oversight of project. As well as, more collaboration with contractor.

• Home evaluation & Recommendations
• Collaboration with Contractor on project design
• Scheduled Meetings with  Client and Contractor (up to 3)
• Onsite visits during remodel (3 visits)
• Follow-up Training and Education (3 sessions) – 
  • check-up and initial follow-up training week 1, 
  • 2nd follow-up training week 2, 
  • final check-in and training week 3

COST: $1,200 – $400 Savings

*Costs do not include contractor services or materials.

All of our services are designed to cater to your specific home, situation, condition and needs. Having a medically-trained Occupational Therapist from Forever Home on your team helps you ensure whatever changes you make to your home are done the right way, the first time.