Before you are admitted to Metropolitan Home Health Care our Intake staff reviews your insurance benefits and authorizes your care. You do not have to pay for the visits if you have Medicare or Medicaid and Metropolitan Home Health Care has accepted the assignment. If you have Medicaid and you have a “spend down” / deductible then you must pay that portion. If your Medicaid benefits have been dropped you will be responsible. If you have private insurance, you pay whatever you have agreed to with your plan.