

Transitional Care Management

Supporting safe recovery after a hospital stay, skilled nursing facility
stay, or observation stay .
We provide timely in-home visits following hospital and skilled nursing
facility discharge to prevent complications and reduce readmissions. Our
team performs medication reconciliation, comprehensive assessments, and
creates a clear care plan.
Insurance Co-pays & Financial Assistance
Many Medicare Advantage plans offer extra benefits that patients often don’t know about or fully use, such as monthly over-the-counter allowances (commonly $20–$150+), fitness memberships, meal delivery, transportation, and more. During your visits or monthly check-ins, our team can provide a simple checklist of common extra benefits to help ensure you are maximizing your benefits! If you would like personalized help reviewing your specific plan, we can connect you with a trusted local advisor. Just let your Care Coordinator know and we will get you connected!
Most services provided by VitalSigns House Calls are covered by Medicare and Medicare Advantage plans. Many plans cover these services with little or no out-of-pocket cost. Patient responsibility is typically low, and if any co-pay creates a hardship, scholarships through our sister nonprofit, Juniper Tree, are available so that financial need never prevents someone from receiving care.
