What Is the Difference Between In-Home Care and Home Health Care in North Carolina?

November 12, 2020 by Katie Davis

Comparing In-Home Care vs Home Health Care

It’s important to fully research home health care services before committing to a senior care solution. Today, we’ll review the difference between home health care services and personal care (or in-home care) services.

Before we begin, remember that regulations around in-home care or home health services differ per state. That means it’s possible for the same service to have a different name in a different state. For the purposes of this blog, we’ll stick with the terms as they apply in North Carolina: home health care and home care (sometimes called personal care or in-home care) services. 

What Home Health Care and Home Care Services Have in Common

Both home health care and in-home care service providers bring care into a person’s home. Most often, they work with seniors but many care providers also work with individuals with disabilities who may need care at home. 

In addition to providing care at home, home health care aides and home care companions can help seniors keep up with the Activities of Daily Living (ADLs) and the Instrumental Activities of Daily Living (IADLS). These can include grooming, bathing, running errands, attending appointments, cooking meals, doing housework and more.

Differences Between Home Care and Home Health Care Services

In North Carolina, home health care services refer to skilled nursing or other medically focused services delivered in the home. These services are typically ordered on behalf of an older adult by a treating physician or other medical professional. Most often this occurs following a hospitalization or an observed and significant decline in health.

Traditional Medicare covers a certain amount of home health care services. These include but are not limited to: skilled nursing assistance performed by a certified nursing assistant (C.N.A.) and a Registered Nurse, physical therapy, palliative or pain management, wound management and assistance with prescribing or managing medication.

In contrast, home care services in North Carolina typically refer to non-medical (companion or personal care) services delivered in the home. Home care clients receive assistance from caregivers (often called companions) with their personal grooming/dressing needs, assistance moving around their home, and basic errands including meal preparation, grocery shopping and other errands.

Clients or client families pay for their home care services directly. Medicare does not cover the cost of these services. However, certain long-term care insurance providers may cover home care services under their plan.

At CarePods, we work with both home health care and home care companies to ensure PodMembers receive the best possible care at home. No matter what you or your loved one’s needs are today, it’s important to work with a network of highly qualified professionals who can help you access the right care at the right time.

If you or someone you know is seeking excellent senior care at home, we’d love to be of service. 


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