Taking your children to the hospital for broken bones or allergic reactions is one thing, but when they need consistent care and monitoring, it’s best to arrange for pediatric home care. After all, your children are probably the happiest and most comfortable at home, which will surely contribute to their health and wellness more than a sterile hospital room might. Of course, if you want to hire an in-home nurse, someone is going to have to pay for it. Fortunately, if your child qualifies, that someone will be your insurance provider.

How Does a Child Qualify for Pediatric Home Care?

For insurance to cover a pediatric nurse, your child will need a letter of Medical Necessity. This letter, which must be drafted by physicians, will classify the child as a special case, state his or her in-home care requirements, and end with a referral. It will then be submitted to the insurance company for review. If they deem the letter sufficient, they will cover the recommended care.

What Kinds of Medical Conditions Warrant Home Care?

Insurance providers might have a list of qualifying conditions that they refer to when reviewing letters of Medical Necessity; however, they also recognize that each case is different. Not every child who has a condition on the list needs in-home care. Likewise, some children with conditions that are not on the standard list might require a private nurse. Regardless, there are some general trends. For example, some of the most common qualifying conditions include muscular dystrophy, Down syndrome, cerebral palsy, autism, blood disorders, respiratory disorders, and immunological disorders.

If your child could benefit from pediatric home care, turn to the compassionate team at J & D Ultracare in Suffern, NY, for help with the qualification process. Our providers will be happy to work with your child’s doctors when drafting the letter of Medical Necessity. Then, once you receive approval, we will provide a friendly pediatric nurse who can handle all your child’s medical needs. To request more information about pediatric home care in Westchester, Monroe, or Orange County, visit our website or call (845) 357-4500.