Benchmark Health Group
Insurance & Payment Options
Most families are surprised by how much is already covered. Below is exactly who pays for each type of care we provide, and what to do if you're not sure what you qualify for.
PLANS AND NETWORKS WE ACCEPT
All four Benchmark Health Group companies contract with the plans, medical groups, and health systems below. Don't see yours? Call us. Networks change constantly and we may still be able to help.
GOVERNMENT PROGRAMS
Medicare (Parts A and B), Medicare Advantage, Medi-Cal, and Medi-Cal Managed Care.
HOSPITAL SYSTEMS
Dignity Health. Valley Presbyterian Hospital, including capitated plans.
INDEPENDENT PHYSICIAN ASSOCIATIONS
Preferred IPA, Global Care Medical Group, Health Care LA IPA, Angeles IPA, Noble IPA, and Regent Medical Group.
COMMUNITY HEALTH PARTNERS
Venice Family Clinic and St. John's Community Health.
COMMERCIAL PLANS
Most HMO and PPO plans. Call to verify your specific plan.
ACCREDITATION AND CERTIFICATION
Saint Mariam Hospice is accredited by The Joint Commission. Bright Horizon Home Health is a Medicare-certified agency.
All four Benchmark Health Group companies contract with the plans, medical groups, and health systems below. Don't see yours? Call us. Networks change constantly and we may still be able to help.
GOVERNMENT PROGRAMS
Medicare (Parts A and B), Medicare Advantage, Medi-Cal, and Medi-Cal Managed Care.
HOSPITAL SYSTEMS
Dignity Health. Valley Presbyterian Hospital, including capitated plans.
INDEPENDENT PHYSICIAN ASSOCIATIONS
Preferred IPA, Global Care Medical Group, Health Care LA IPA, Angeles IPA, Noble IPA, and Regent Medical Group.
COMMUNITY HEALTH PARTNERS
Venice Family Clinic and St. John's Community Health.
COMMERCIAL PLANS
Most HMO and PPO plans. Call to verify your specific plan.
ACCREDITATION AND CERTIFICATION
Saint Mariam Hospice is accredited by The Joint Commission. Bright Horizon Home Health is a Medicare-certified agency.
No. Medicare covers intermittent skilled care, meaning visits rather than continuous coverage. Round-the-clock care at home is private pay, though some long-term care policies and Medi-Cal programs contribute. If 24-hour need is the reason you are calling, congregate living is often more affordable than 24-hour home care, and we can walk you through both.
Not for room and board. Medicare covers medical care wherever you live, including in a residential setting, but it does not pay the cost of living there. Private pay, the Medi-Cal HCBA waiver, and long-term care insurance are the options that do.
For patients with Medicare, essentially nothing. Prescription copays for symptom control are capped at a few dollars and inpatient respite care carries a 5 percent coinsurance. Everything else related to the terminal diagnosis is covered, including equipment, supplies, and bereavement support for your family.
For Medicare-covered home health and hospice, yes. A physician has to certify the need. If you do not have an order yet, call us anyway. We coordinate with physicians constantly and can often help get it in place.
Hospice Care
Covered in full by Medicare. For most families, there is no bill.
Medicare does not cover room and board. The Medi-Cal HCBA waiver and private pay do.
