The basic ADL include:
Much of personal care is "private duty" or private pay, meaning that it is not covered by insurance and must be paid for by the beneficiary or some other party. However, many Medicaid and Veteran's Affairs programs do pay for personal care, and the government has now made a provision that allows Medicare Advantage plans to pay for services at their discretion.
Though being private pay may be seen as a restriction for some people, it also allows personal care agencies to offer many types of services that could not be provided by a CNA as part of a Home Health episode. For example, in addition to helping clients to bathe, dress, remind them to take medications, and change clothing or briefs, a Personal Care Aide may perform shopping, meal prep, housekeeping, laundry, errands, companionship, and much more.
Private Duty offerings may extend beyond personal care to include private pay nursing, therapy, and/or social work. Some companies are even beginning to offer private-duty care management to present a more whole-person approach of caregiving as they build a trusting relationship with clients as an advocate and guide through the healthcare system.