Perfect Care Match is a full-service and fully licensed home care agency that offers clients and families a stress-free experience with all aspects of in-home care. By providing the full range of assistance, from holistic caregiving services to help with insurance and paperwork, our goal is to alleviate the burden on families, allowing them to focus on what truly matters—their loved ones.
As a Full-Service Agency, PCMatch is not a registry, which means we:
- We provide clients with protection with our general liability, Workers’ Compensation and other
- Our Caregivers are bonded, offering additional protections
- Our Caregivers are W-2 employees. We handle all Payroll & Taxes for our caregiver staff
- We perform extensive care assessments
- Have a Registered Nurse (RN) on staff
We Adhere to Stringent Hiring Standards, Including:
-
- A four-stage interview process
- Rigorous background checks
- Caregivers have at least two years of professional experience in caregiving as a Certified Nursing Assistant (CNA), Home Health Aide (HHA), or Personal Care Attendant (PCA) or at a Home Care Agency
- At Perfect Care Match, we use the renowned Caliper Personality testing and assessment tool to create detailed profiles for our care staff, clients, and their families.
Our Quality Assurance Process Involves:
- Random field supervision assessment visits to our client’s homes
- Regular check-in calls to ensure proper caregiver matching
- We monitor, develop, and adjust all plans of care as needed
Our Work With Long-Term Care Insurance Companies
As part of our commitment to providing the best care, we offer administrative assistance to help you manage the logistical aspects of your loved ones’ care. This includes coordinating caregivers, organizing essential documents such as medical records and insurance information, managing billing, and providing resources and referrals to additional support services.
Because we are fully licensed home care agency operating in Massachusetts, our caregiving services are accepted by most long-term care providers. As part of the administrative assistance we provide, we can ensure that insurers accept clients’ care claims before beginning caregiving services, alleviating concerns and avoiding the risk of rejection of claims that can lead to unexpected out-of-pocket expenses.
We can manage the long-term care (LTC) insurance application and reimbursement process from start to finish at no added cost. This service saves clients and families time, effort, and money by handling all the paperwork, ensuring timely submission, and following up with the insurance company to expedite the reimbursement process.
What is Long-Term-Care Insurance, and Why is it so Important?
LTC insurance is crucial for elderly patients. This insurance provides financial protection for services such as nursing home care, assisted living facilities, in-home care, and other long-term care needs that elderly patients may require as they age. It covers the costs of extended care services that traditional health insurance or Medicare may not. With long-term care insurance, elderly patients can ensure access to necessary care and support without depleting their savings or burdening their families with high care costs.
Understanding the requirements and coverage details for your specific insurance provider is critical. LTC applications and reimbursements typically require information such as the patient’s medical history, current health condition, and pre-existing conditions. Most insurers additionally require a care plan outlining the specific in-home services and regular updates to care plans by the home care provider.
You must check with your insurance provider for requirements and coverage details, such as waiting periods and deductibles. Clients who recently purchased a long-term care insurance policy may find the insurance company requires them to go through an open Claims process, which can be lengthy, depending on the insurance provider. Some insurers may require a waiting period or a deductible to pay $2,000 before their policy kicks in, but families must still initiate and activate the claim.
Understanding and completing the necessary paperwork associated with Long Term Care Insurance claims can be time-consuming. Insurers also require paperwork and documentation to be provided by licensed and accredited home-care agencies to be processed and covered reimbursements provided.
Avoid Unexpected Out-Of-Pocket Expenses
Understanding LTC insurer requirements is critical to avoiding unexpected costs and worries. For insurers to cover the services provided by in-home care, agencies must be fully licensed and accredited in the state in which they operate. When shopping for in-home care, families must be cautious of agencies that may offer lower rates but are not licensed. This can result in insurance claim denial, requiring out-of-pocket payment.
Our agency also offers a unique billing service that expedites our clients’ claims filing and reimbursement process. While other agencies can take up to 21 business days to process invoices, we provide weekly billing to ensure timely reimbursement for service payments.
This streamlined approach saves families time and alleviates the effort to submit claims and provide associated required paperwork. It also minimizes the risk of unexpected out-of-pocket expenses. With our service, families can rest assured that they will receive regular and timely payments without the challenge of long wait times.
At Perfect Care Match, we are committed to providing the best possible support to families in caring for their loved ones. We aim to help families focus on spending quality time with their loved ones while we take care of the rest.
Our comprehensive administrative support ensures insurers have all the necessary information, including medical records. This meticulous approach gives you confidence that your claim is handled correctly with the utmost care. We conduct all follow-ups to ensure your insurance claims are complete, processed, and active, and families receive reimbursements regularly to avoid financial strain and stress.
How Can PCMatch Help?:
- We develop a customized care plan as required by most long-term care insurance plans.
- We submit client claim forms to their long-term care provider on their behalf, along with all information required to initiate the claim.
- Once claims are established, we alleviate the burden of managing administrative paperwork and filing needs. Based on your policy requirements, we can input the necessary information directly into the insurer’s claims system or fax and email documentation as needed. This ensures a smooth process for reimbursement invoicing while relieving families of the need to navigate this complex task.
-
- We generate and submit weekly invoices, including all necessary care notes for each caregiving shift, to the insurance company.
- We manage all follow-up calls to ensure claims are complete, processed, and active and that families receive reimbursements regularly to avoid financial strain and stress.
Contact us today to learn how we can help ensure LTC coverage and the best possible care for your loved one at home.