Skilled care for the people you love.

Under Original Medicare, you generally qualify when you need part-time or intermittent skilled nursing or therapy, you are homebound, and a doctor or other qualifying provider (such as a nurse practitioner) orders the care after a face-to-face assessment. Care must come from a Medicare-certified agency. We review this with you before the first visit.

Medicare says you must meet both of these: leaving home is not recommended because of your condition, or you have trouble leaving without help (a cane, walker, wheelchair, crutches, special transportation, or another person); and you are normally unable to leave home, and leaving takes a lot of effort. You may still leave for medical treatment, adult day care, religious services, or short, infrequent non-medical absences.

Yes. A doctor or other qualifying provider must order your care and certify that you need home health services. They should assess you face-to-face before that certification. Your hospital, clinic, or primary doctor can send a referral. Families can call us first. We will help gather the order.

For covered home health services on Original Medicare, you pay nothing. After you meet the Part B deductible, you pay 20% of the Medicare-approved amount for covered durable medical equipment. If you have a Medicare Advantage plan, check that plan. Before care starts, we tell you what Medicare is expected to pay, and we give an Advance Beneficiary Notice if a service may not be covered.

Medicare does not pay for 24-hour-a-day care at home, home-delivered meals, or homemaker services such as shopping and cleaning that are unrelated to your care plan. It also does not pay for custodial or personal care (bathing, dressing, using the bathroom) when that is the only care you need.

If you qualify, Medicare does not cap the number of visits. Care is still part-time or intermittent, not round-the-clock. In most cases that means skilled nursing and home health aide time combined up to 8 hours a day, for a maximum of 28 hours a week. For a short time, a provider may order more frequent care (still less than 8 hours a day, up to 35 hours a week) if it is necessary.

No. A Medicare home health aide visits as part of a skilled plan of care, usually to help with walking, bathing, grooming, or feeding while you are also getting nursing or therapy. That is not 24-hour companion care, housekeeping, or hired help for errands. If personal care is the only thing you need, Medicare home health is not the right benefit. Call us and we will say so plainly.

Yes. If a hospital or doctor says you need home health, you have the right to choose the Medicare-certified agency. They should give you a list of agencies that serve your area and tell you if they have a financial interest in any of them. Ask the case manager to send the referral to New Horizon Home Health, or call us and we will help gather the order.

We are a Medicare-certified home health agency and a TMHP-enrolled Texas Medicaid provider. We are also credentialed with Aetna First Health, Nomi Health, Partners Direct Health, Prime Health Services, Provider Partners Health, Superior HealthPlan, Molina Healthcare, and EviCore/Cigna. Benefits still depend on the specific plan. Call us with the member ID and we will verify coverage before care starts.

No. Our office is in Mesquite, and we take care of families across Dallas, Collin, Denton, Tarrant, Rockwall, Hunt, Cooke, Grayson, and Kaufman counties. If you are not sure about your street, call. We would be glad to check.

Once your provider refers you, we schedule a visit to talk about your needs and health. After we receive a complete referral, a nurse typically completes the start-of-care visit within 24 to 48 hours. If you need a sooner window, call the office M-F, 9:00 AM to 5:00 PM, and we will say what is possible.

At home. A nurse, therapist, or aide visits you there, in the rooms you already use, on a plan your provider orders.