Home Health in Madison, Wisconsin: Search Near You, How to Pay, Licensing, Local Resources, and Questions to Ask
Madison, Wisconsin, offers a vibrant mix of cultural attractions, educational opportunities, and scenic beauty, making it an attractive city for retirees. Wisconsin ranks in the upper tier nationally for assisted living, reflecting its commitment to high-quality elder care. Nestled between Lakes Mendota and Monona, Madison provides abundant opportunities for boating, fishing, and walking along waterfront trails. Residents also enjoy concerts, art galleries, and year-round events at the University of Wisconsin campus. With its balance of affordability, access to medical services, and engaging community life, Madison provides a welcoming environment for older adults considering home health care.
Home Health Communities near Madison, Wisconsin
Oakwood Preferred Hospice
Madison , WI 53705
Interim Healthcare Of Wi Madison
Madison, WI 53713
Transitions At Home Of Western Wisconsin
Mount Horeb, Wisconsin 53572
Aveanna Home Health
Madison, Wisconsin 53703
Catalyst, Inc.
Madison, Wisconsin 53703
Maxim Healthcare Services
Madison, Wisconsin 53718
Uw Health Care Direct
Middleton, Wisconsin 53562
Ssm Health At Home Home Health-wisconsin
Madison, Wisconsin 53718
Uw Health Care Direct
Middleton, Wisconsin 53562
About Home Health in Madison, WI
Home health in Madison, WI offers skilled care services provided in the comfort of an individual’s home. These commonly include skilled nursing, physical therapy, occupational therapy, speech-language therapy, and help from home health aides. Care is designed to aid recovery, manage long-term health conditions, and support independence. Services are coordinated with healthcare providers and families to ensure personalized and effective care.
Considerations when looking for Home Health Care Agencies in Madison, WI
There are 8 Home Health providers within 10 miles of Madison, Wisconsin. Madison has a population of approximately 272,903 residents, with 12.7% aged 65 and older. In Madison, the summers are warm and humid, the winters are freezing, snowy, and windy, and it is partly cloudy year round. Over the course of the year, the temperature typically varies from 13°F to 82°F and is rarely below -7°F or above 90°F.
Cities near Madison, WI
- Fitchburg, WI – 6 miles S
- Middleton, WI – 7 miles NW
- McFarland, WI – 8 miles SE
- Monona, WI – 8 miles E
- Verona, WI – 10 miles SW
Pricing and How to Pay for Home Health Services
Paying for senior care involves several factors, including the type of services needed and coverage options available. On average, seniors can expect to pay $7,627 per month for home health services, which typically include skilled nursing, physical therapy, occupational therapy, speech-language therapy, and medical social services. These essential services help ensure a comfortable and well-supported aging experience. Costs may vary based on location, level of care required, and agency offerings.
Many home health care agencies choose to become Medicare-certified, allowing them to receive reimbursement for eligible services. Additionally, home health providers may educate individuals and their families on self-care techniques to promote independence. When prescribed by a physician, home health services are often covered by medical insurance and are commonly provided after a hospital stay or skilled rehabilitation.
How to pay for Home Health and available coverage
Medicare:
Generally Medicare reimburses the cost of Home health services. Medicare typically covers your loved one when recovering from an illness or an accident or a surgery.
*Medicare covers the specific ailment. When treatment is completed Medicare coverage stops.
Medicare is not a long-term care solution.
Medicaid:
Medicaid programs are put in place on a state-by-state basis. Each state will have their own regulations regarding the coverage of care. Some individuals at a certain low-income level may qualify for Medicaid Home and Community Based Service Waivers.
Veteran Aid and Attendance:
This benefit is available to some military veterans or surviving spouses.
- A veteran may qualify for as much as $2,050 each month.
- A veteran with a sick spouse may be eligible for $1,600 per month.
- If a veteran has passed, their surviving spouse can qualify for $1,300 per month.
Private Insurance:
- Most health insurance companies typically cover some services for acute medical needs.
- Do be aware, long-term coverage vary by plan. Not all long-term insurance will assist with home health services as the needs of the person tend to be temporary.
Private pay:
Families which can afford to do so may pay for care with private funds. Private pay can be a combination of retirement funds, personal savings, pension payments and family members may contribute funds toward a loved one’s care as well.
Definitions of types of care
Home Care: Caregiver assistance related to activities of daily living, including: mobility, eating, toileting, bathing and personal hygiene, dressing and grooming or cognition support. These services are typically not covered by medical insurance and do not require a physician’s order.
Home Health: includes skilled nursing services, physical therapy, occupational therapy, speech language therapy and medical social services. A home health care agency may choose to be Medicare certified to be reimbursed for their services. Home health agencies may also teach you how to care for yourself. Services ordered by a physician, covered by Medical Insurance and typically provided following a hospital or skilled rehab stay.
Rehabilitation & Therapy: treatment for an injury, illness, or pain with the goal of restoring function, including nursing and therapy services. Rehab is ordered by
a physician and services are provided by nurses and physical, occupational, and speech therapists. Examples include working with a physical therapist to help you walk and with an occupational therapist to help you get dressed.
Respite Care: short term relief for family caregivers to take a break from the caregiving responsibilities and allows for a healthier and better quality of life for both the caregiver and care receiver. Respite services include: companionship, personal care, recreational activities and security. Respite care can be provided as short stay or for a longer period that allows the family caregiver to go on vacation or a business trip. Longer duration respite care is generally found at select senior housing communities although some Companion services may provide this service in the home.
Hospice Care (Palliative Care): emphasizes comfort measures and counseling to provide social, spiritual and physical support to the dying patient and his or her family. The goals of hospice are to keep the patient as comfortable as possible by relieving pain and other symptoms. Hospice care, is typically offered in the last six months of life and covered under Medicare Part A .
Local Hospitals and Healthcare Providers in Madison, WI
UW Health University Hospital
600 Highland Ave, Madison, WI 53792
(608) 263-6400
UnityPoint Health – Meriter
202 S Park St, Madison, WI 53715
(608) 417-6000
St. Mary’s Hospital
700 S Park St, Madison, WI 53715
(608) 251-6100
SSM Health St. Clare Hospital
707 14th St, Baraboo, WI 53913
(608) 356-1400
Fort HealthCare
611 Sherman Ave E, Fort Atkinson, WI 53538
(920) 563-5571
Questions to ask when looking for Home Health
- How long has the agency been serving this community?
- Does the agency have any printed brochures describing the services it offers and how much they cost?
- Is the agency an approved Medicare provider?
- Is the agency currently licensed to practice (if required in the state where you live)?
- Does a national accrediting body certify the quality of care?
- Does the agency offer seniors a “Patients’ Bill of Rights” that describes the rights and responsibilities of both the agency and the senior being cared for?
- Is there a care plan in place that outline the patient’s course of treatment, describing the specific tasks to be performed by each caregiver?
- How closely do supervisors oversee care to ensure quality?
- Will agency caregivers keep family members informed about the kind of care their loved one is getting?
- Are agency staff members available around the clock, seven days a week, if necessary?
- Does the agency have a nursing supervisor available to provide on-call assistance 24 hours a day?
- How does the agency ensure patient confidentiality?
- How are agency caregivers hired and trained?
- What is the procedure for resolving problems when they occur?
- How does the agency handle billing?
- Is there a sliding fee schedule based on ability to pay, and is financial assistance available to pay for services?
- Will the agency provide a list of references for its caregivers?
- Who does the agency call if the home health care worker cannot come when scheduled?
- What type of employee screening is done?
Bureau of Aging and Disability Resources State unit on aging, oversees county and tribal aging units.
Contact for state policy questions or complaints about AoA services and programs. For linkage to local aging network providers.
Wisconsin Guardianship Support Center Operated by GWAAR, the Wisconsin Guardianship Support Center (WGSC) responds to requests for information through a toll-free helpline or by e-mail. Calls are returned in the order in which they are received. Helpline staff are not able to provide legal advice but provide information for consumers (including wards), family and friends, professionals, and others.
Wisconsin State Health Insurance Assistance Program (SHIP) The program offers counseling and assistance on a variety of topics including: Medicare, Medicaid, Medicare Supplemental Insurance, and other health insurance options.
Legal Action of Wisconsin, SeniorLAW Project SeniorLAW is a project of Legal Action of Wisconsin which provides quality free legal assistance to Milwaukee County residents age 60 and older.
Eldercare Locator This is a great resource to search for specific care in specific counties and cities. This database is a nationwide resource that connects older Americans and their caregivers with trustworthy local support resources. Connect with services such as meals, home care or transportation, or a caregiver education or respite from caregiving responsibilities. The Eldercare Locator is a public service of the Administration on Aging (AoA), an agency of the U.S. Administration for Community Living.
Medicare provides a search feature to find & compare providers near you, most senior housing and care providers are included on CareAvailability.com. Find & compare plans in your area. Determine if you qualify for premium savings
Medicaid offers information on how to apply for Medicaid, eligibility criteria, links to local state offices, and additional resources
The Alzheimer’s Association is the leading voluntary health organization in Alzheimer’s care, support, and research. Whether you are living with Alzheimer’s or caring for someone with the disease, information and resources are available.
