doctor on call home visit

House Calls – We Bring the Doctor’s Office to the Patient

At Mobile Physician Services, we provide comprehensive care to improve the health and quality of life of our patients – in the convenience and comfort of their own home. Our team of board-certified doctors, advance nurse practitioners, and physician assistants specialize in providing care for patients with medically complex and chronic conditions.

Our Services

We accept Medicare, many insurance plans, and self-pay.

To find out more about our services:

Call Toll-free: (855) 232-0644

E-mail us at [email protected]

Primary Care

Pain management, palliative care.

At Mobile Physician Services, our customized care teams provide patients with both comfort and familiarity as they work with a dedicated primary care provider and care coordinator to improve their health. Our physicians and staff take a proactive approach to preventive care, chronic disease management, and chronic illness support right where you live.

Each home visit includes an in-depth examination and individualized treatment plan, which is monitored and adjusted through routine follow-up visits. The primary care provider will deliver your ongoing care and will recommend to you specialty services as needed.

• Annual Wellness visits : This wellness visit allows your primary care provider to create or update your personalized prevention plan. This visit includes a review of your medical and social history related to your health and may include counseling about preventive services. This plan may help you to prevent or reduce the chances of future illness based on your current health and risk factors.
• New Illness Exams : When a new symptom or ailment arises, call us. Early indications of not feeling well could be a clue that you may be getting sick. A symptom in one part of the body may also be a sign of a problem in another part of the body. Moreover, unrelated symptoms that might seem minor on their own, could be warning signs of a more serious medical disease or condition. The new illness exam can be very brief or more detailed depending on your concerns and the provider’s findings.
• Follow-up Care: Involves a regular medical checkup, which may include a physical exam and laboratory testing. Follow-up care checks are a proactive way of assessing the potential for and preventing health problems from returning after treatment of a disease has ended or an illness has seemingly passed.
• Referral for Specialty Care : Referrals are the link between primary and specialty care. The referral coordination includes the documentation of patient care activities, the transfer of information, the inter-provider communication itself, and the integration of care services to the patient. Mobile Physician Services is a multi-specialty practice so many of these specialty referral services can be made seamlessly with little inconvenience or disruption to the patient and caregivers regular routines.
• Medication Management: Medication management is a treatment structure that ensures our patients are receiving optimal therapeutic results from their prescription medications, both in the short and long term. Our team’s goal is to mitigate medication noncompliance and monitor all prescriptions treatments so that drug interactions complement one another for the most optimal outcome for our patients.

The provider may be a physician, advanced practice nurse or a physician assistant. A dedicated care coordinator will also be assigned for each patient to help arrange comprehensive services and assist patients and their caregivers.

• Online Patient Portal: You and your designated caregiver, if you choose, will be able to connect with your provider through a convenient, safe and secure environment which allows access to your health records and a way to communicate with our staff in a timely manner.
• Telephone Assistance : On call providers are available 24/7 weekdays and weekends.

Our psychiatry team specializes in the diagnosis and management of mental, emotional and behavioral disorders. They carefully evaluate each patient to develop an individualized treatment plan to improve the patient’s overall mental and physical well-being.

• Depression : Depression is a common and often serious medical illness that negatively affects how you may feel, the way you may think, and how you may act. Depression can cause feelings of sadness, despair and hopelessness, which may lead to a loss of interest in activities you once enjoyed.
• Anxiety : Intense, excessive, and persistent worry and fear about everyday common situations. The worry or anxiety could make you feel fatigued, irritable, and interfere with your regular sleep habits.
• Dementia : An overall term that is used to describes a collection of symptoms related to an individual’s decline in memory or other thinking skills. It may be severe enough to diminish a person’s ability to perform everyday common activities. The effects of dementia can negatively influence your memory, thinking and social abilities.
• Phobias : A phobia is when you experience excessive panicking or an irrational fear reaction to a situation. If you have a phobia, you may experience a deep sense of dread or fright when you encounter the source of your fear. The fear may be a certain place, situation, object, animal or even another person.
• Behavioral disorders : Attention deficit, hyperactivity, bipolar, learning, defiant or conduct disorders are all examples of complaints that may have a detrimental impact on a person’s interpersonal relationships with family, friends, and co-workers.

Our team can provide behavioral counselling and medical therapy, when appropriate, to help a patient feel better about themselves and to assist them with better coping and managing their condition.

Our wound care specialists have been trained in the attention and treatment of all types of acute and chronic wounds. They have skill and experience in wound debridement and wound care procedures – managing chronic, non-healing wounds and infections, with a demonstrated care that fosters healing… right in the patient’s own home.

We specialize in serving homebound patients who may also be bed-bound or have difficulty in walking or moving around. As a result, immobility compression sores develop at pressure points on the body when the weight of an immobilized individual rests continuously on a firm surface, such as a mattress or wheel chair. Often these same patients are on oxygen or have high-risk medical conditions which makes it an even more challenging and stressful effort for them to travel to a doctor’s office for an appointment. Thus, the necessity for in home care and treatment.

Wounds that benefit from specialized wound care techniques include:

• Diabetic foot wounds and ulcers
• Post-surgical wounds
• Traumatic wounds caused by injury
• Arterial and vein stasis caused by lack of circulation
• Immobility pressure sores. (Bed sores from stillness)

We work closely with home health agencies to provide ongoing care and monitoring of patient’s wounds.

Our board-certified podiatrists treat foot pain, wounds, and more. Treatments may include but are not limited to treating conditions of the lower extremities which could hinder mobility.

• We will review each patients’ medical history to evaluate the condition of the feet, ankle or lower leg
• Carry out a diagnosis on the feet and lower legs through examination and medical tests
• Order physical therapy when deemed necessary
• Treat wounds of the lower extremities using various wound care modalities. This may include debridement to improve the healing potential
• Promote prevention, health & well being, the treatment and management of the foot and related problems, disability, deformity, and the pedal complications of chronic diseases for the elderly
• Prescribe and fit prosthetic appliances such as diabetic shoe inserts and evaluate for bracing if necessary
• Refer patients to other specialists for treatment, including conditions such as diabetes or arthritis
• Advise patients on ways to prevent future leg problems and increase speed of recovery
• Monitor the recovery progress of patients to determine the need for change in treatment

We know it’s not always easy to leave home to get the care you need for your eyes. Our optometrists bring state-of-the-art diagnostic eye equipment and technology to your home – making it much easier for you to get the vision care you need.

During a visit, your doctor will exam each eye for signs of serious issues such as glaucoma, cataracts, macular degeneration, and detached retinas, among other conditions.

Receiving regular eye exams regardless of the state of your vision can help detect serious eye problems at their earliest stages ─ when they are most treatable. During an eye exam, your doctor will observe and evaluate the health and condition of the blood vessels in your retina, which can be good indicators of the health of your blood vessels throughout the rest of your body.

• Comprehensive eye exams : This exam goes beyond a simple vision screening. A comprehensive eye exam includes a host of tests in order to do a complete evaluation of the health of your eyes and your vision.
• Annual retina exams : A retinal exam allows your doctor to evaluate the back of your eye, including the retina, the optic disk and the underlying layer of blood vessels that supply the retina.
• Eyeglass fittings : A prescription works best when your eyeglasses are properly fitted. Improper fitting may cause pinching, distorted vision, headaches, and even dizziness. Our doctors will make sure your prescription lenses and frames are working together for you.
• Diabetic eye exams : Diabetes does not have to lead to vision loss. Taking an active role in managing your diabetes can go a long way in curbing later complications. Regular eye exams, good management of your blood sugar and blood pressure, along with early intervention for vision problems can help prevent vision loss caused by diabetic retinopathy. Retinopathy is caused by damage to the blood vessels of the light-sensitive tissue at the back of your eye.
• Refractions: This test is given as part of your routine eye examination. It is often referred to as a vision test. This test assists your eye doctor in measuring you for the exact lens prescription you will need.
• Eye injuries: Eye trauma could be the result of a sudden blow to the eye. It may cause the eye to suddenly compress and retract which could cause damage to your eye and the surrounding tissue. Even if the injury may seem minor, all eye injuries should be furthered examined by a doctor for possible more serious and underlying injuries.
• Eye infections: The most common eye infection is conjunctivitis, also known as pink-eye. An eye infection can happen in almost any part of your eye, including your eye lid, cornea and optic nerve. Symptoms of eye infections may include redness, itching, swelling, discharge, pain, or problems with vision. Always consult with your doctor before treating, as recommended actions are contingent on the cause of the infection.
• Low-vision exams: A low vision exam is different from a normal eye exam. This functional-vision assessment determines how specific visual impairments affects your ability to perform everyday activities. The exam’s results assist your doctor in prescribing management tools and medications to better enhance and manage your remaining vision.

Pain management is the process of providing medical care that alleviates or reduces pain. Pain management is a subspecialty of general medicine employing an interdisciplinary approach to ease the suffering and improve the quality of life of those living with chronic pain by using a combination of pain medications, joint and muscles injections, and physical therapy techniques.

A pain management specialist is a provider with advanced training in diagnosing and treating pain. Our pain management specialists treat pain stemming from a variety of different causes, whether it’s neuropathic pain or headache, or the result of injury, a surgical procedure, cancer or another illness.

Palliative care is an approach to the holistic care of patients, including family and caregivers, to improve the quality of their lives after the diagnosis of a chronic debilitating disease or life-limiting illness that may cause a host of complaints.

Palliative care can begin at diagnosis and continue to be offered while the patient is continuing active treatment through different phases of their life limiting condition. Palliative care is for any patient with a chronic illness who is experiencing a decreased quality of life because of symptoms related to their illness or treatment, like renal dialysis, oxygen therapy or chemotherapy. The care is provided by a specially-trained team of doctors, nurse practitioners, physician assistants, and other specialists who work together to provide an extra layer of support to the patient and their caregivers.

Palliative care can help in symptom control including not only pain, but nausea, weakness, shortness of breath, fatigue and weight loss at any time during their diseases, not only at the end of life.

Mobile Physician Services, Inc. Corporate Headquarters 6804 Cecelia Drive New Port Richey, FL 34653

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There was a time when doctors treated patients in their own home. This old-fashioned care matched with new medical technology is here again. At HouseCall Primary Care, we serve homebound patients wherever home may be...a patient's house, a nursing home, or assisted living. Our team of providers stay with our patients wherever they go.

HouseCall Primary Care offers these general areas of specialty. Select one of the services below to learn more.

Look out for your health

A UnitedHealthcare® HouseCalls visit is a no-cost, yearly health check-in that can make a big difference. 

Call 1-866-799-5895 ,

TTY 711,  to schedule your visit.

HouseCalls brings yearly check-in care

To you at home.

Connect for up to a full hour of 1-on-1 time with a licensed health care practitioner. Every visit includes a physical, tailored recommendations on health care screenings and plenty of time to ask questions that matter to you.

After your visit, HouseCalls connects with your primary care provider (PCP) to help keep them informed about your health. It's a great way to feel confident knowing an extra set of eyes is looking out for you between regular PCP visits.

What is a HouseCalls visit? 

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Say hello to HouseCalls.

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HouseCalls is our way of looking out for your health, so you can focus on your future. Here’s what it’s all about.

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Once a year, a licensed health care practitioner can come to your home to spend up to an hour with you on your health and wellness.

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It's designed to be easy, convenient and informative.

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You'll get a head-to-toe exam, important health screenings and plenty of time to talk about your health goals.

We'll also provide guidance on managing your health and if you need it, give you referrals for other health plan resources and services.

HouseCalls is a great way to stay on top of your health between regular doctor's visits.

At the end of your visit, you'll get a personalized checklist so you can feel more confident in what to discuss with your regular doctor.

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If you're wondering how much all of this is going to cost, the best part is, there is no extra cost to you. It's included in your health plan.

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A HouseCalls visit takes place in the comfort of your own home or by video if you prefer.

So, say hello to HouseCalls and invite us in for a visit today.

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Access one of the most popular UnitedHealthcare offerings, at no cost to you

Schedule your visit

Call 1-866-799-5895 , TTY 711

Monday–Friday, 8 a.m.–8:30 p.m. ET

Your in-home health check-in

• Up to a full hour with a licensed health care practitioner
• Ask the questions that matter to you and get valuable health tips
• No cost — it's included in your health plan

Get rewarded

Meet your friendly housecalls medical staff.

Just like the professionals you see in your regular doctor’s office, our licensed health care practitioners may be nurse practitioners, physician assistants or medical doctors. They’re state licensed and maintain national certification.

We perform background checks on these professionals to provide additional peace of mind for our members. Your loved ones, caregivers or friends are welcome to be present during the visit — it’s up to you.

Ready to open the door to better health?

Getting ready for your housecalls appointment, tips to help you prepare:  .

• Wear shoes that are easily removed to have your feet checked
• Make a list of upcoming appointments with your PCP and specialists
• Make sure all of your medications, both prescription and over-the-counter vitamins and supplements, are in their original bottles for our review
• If you record blood pressure readings, please have your results available for review
• If you have diabetes, please have your blood glucose meter handy
• Make a list of questions and concerns you’d like to discuss

During your appointment

• You'll have up to a full hour of 1-on-1 time with your health care practitioner for a physical, select lab tests, health screenings and more
• A HouseCalls visit can be completed while sitting at your kitchen table or in the living room, and you can use the time to ask any health-related questions
• The visit is tailored to your individual needs, so screenings and conversation topics can vary

After your appointment

Less travel time. more face time..

Think of HouseCalls as an extra layer of care — valuable 1-on-1 time you don't always get in the doctor's office. And it's tailored to your individual needs.

Schedule today

To secure your spot, call us at  1-866-799-5895 , TTY 711

Have a question?

Find answers to frequently asked questions.  

If you have a specific question about your upcoming appointment or need to reschedule, call us at 1-866-799-5895, TTY 711 , Monday–Friday, 8 a.m.–8:30 p.m. ET

We're here to help.  

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Apollo HomeCare’s doctor home visit service provides expert care for you and your family that encompasses day-to-day healthcare needs as well as long term assistance.

Regular health check ups are always recommended to keep a check and maintain the best of health. Our online doctor consultation ensures you and your family members are always in the pink of health. Discover the convenience of our “Doctor at Home” service. We aim to provide doctor home visit services in Hyderabad, Bangalore, Kolkata, Chennai, Delhi, and other cities. Our team of dedicated doctors is just a call away, providing quality healthcare in the familiar surroundings of your home.

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Making sense of Medicare isn’t easy. Parts, A, B, C, D; HMOs; PFFS plans; SNPs. Navigating the system can feel like learning to code… blindfolded… with one hand tied behind your back. The point is, it can be overwhelmingly complicated. But at MD at Home one of our goals is to make quality healthcare easier to access and understand, so in this post we’re decoding the ins and outs of Medicare Advantage Plans, from A to Z.

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In 1930, house calls were standard practice for physicians, accounting for approximately 40 percent of patient visits. By 1950, this number had fallen to 10 percent, and by 1980, only about 1 percent of patient visits happened in the home. But as they say, everything old is new again, and with the coming demographic changes, it seems doctors may be making more home visits in the near future.

Diabetes and depression can each be conditions with devastation consequences on their own, let alone when a single individual suffers from both. Often times, the symptoms of one can exaggerate and accelerate the symptoms of the other, but fear not! There are a few simple steps you can follow to alleviate the symptoms and prevent the onset of both.

MD at Home provides home care, home medical doctors, and housecall physicians to patients in need with a focus on p reventing readmissions during the transition from an acute care setting to the home. For over 20 years, we’ve served as the premier healthcare resource for primary care and geriatric medicine for homebound patients in the Chicagoland area. Partnering alongside some of Chicago’s most established and respected institutions, we tailor our programs toward modern guidelines with an unwavering focus on clinical excellence, patient satisfaction, and measured clinical outcomes.   Our continuum of care and individual care plans highlight the importance of readmission reduction and high level transitions from the hospital to the home setting. MD at Home is transforming healthcare through our collaborative, proactive, and preventative approach to patient health.

Our approach reduces unnecessary hospitalizations and focuses on helping patients and caregivers better manage individual health from the comfort of their home.  Through our expertise in primary care and geriatric medicine, our licensed clinicians deliver a comprehensive approach in the management of chronic conditions to homebound patients, and our highly trained physicians and nurses are certified to perform most of the same services offered in a physician's office.  MD at Home is transforming reactive, crisis-oriented care into proactive, preventive medicine, reducing unnecessary emergency room visits, hospitalizations, and 30-day readmissions.

Who Qualifies for a Housecall Visit?

Patients with difficulty leaving home due to a mobility limitation, patients with difficulty leaving the home due to cognitive impairment, patients who require the use of special transportation to leave the home, patients with an inability to leave the home and for whom leaving the home requires taxing effort, patients requiring the assistance of another person to leave the home, patients for whom leaving the home is medically contradictory due to the patient's medical condition, accepted insurance.

MD at Home accepts the following insurance policies:

• Medicare Part B
• Medicare Pametto GBA
• Blue Cross Blue Shield (XOF, R, XOX)
• Blue Cross Blue Shield (XOS - Must have Medicare Part B as primary insurance)
• Aetna (PPO)
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• United Medical Resources (PPO)

Physician Careers

MD at Home is hiring Physicians and Nurse Practitioners. Physicians with MD at Home have a luxury many other medical doctors severely lack: time . Unlike a typical seven minute visit, our physicians spend an hour or more with each patient, gaining a holistic view of the patient's health within their native environment. This not only means more insight into the patient's daily life, but also into their care support system, including interacting with family members and caregivers. This not only leads to better care for patients , but better lives for our doctors. Our physicians only work typical workday hours, allowing them to spend more time with their families, avoiding obscure hospital rounds or late nights. Our physicians using cutting-edge EMR technology to maintain up-to-date health records for each and every patient so nothing gets lost in the shuffle.

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Patient Portal Phone: (312) 243-2223 Monday – Friday  9:00AM – 5:00PM Closed Saturdays and Sundays

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• May 16, 2024

Bringing Quality Home Care Physicians to Your Place

Bringing Back the Medical House Calls of Yesteryear—with the Medical Breakthroughs of Today

Bringing the Comfort of Caring Doctors on Call to Those with Chronic Illness

Healthcare Without Waiting Rooms

We’re proud to have Coach O advocating for Homedica HouseCalls!  For seniors wishing to avoid unnecessary exposure to the Coronavirus, Homedica HouseCalls is here to help.

Homedica: Devoted Home Care Physicians & Nurse Practitioners

Welcome to Homedica HouseCalls, a medical care team developed to provide the expert treatment of home care physicians and nurse practitioners where patients are most at ease—in the comfort and safety of their own homes. With our nurses and doctors on call at all times, Homedica HouseCalls patients can rest easy knowing that we make medical house calls in Louisiana, Arkansas, Mississippi, and South Alabama to ensure personalized care for people who are unable to comfortably leave the home.

• High-quality in-home medical care
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• Physicians Board Certified in Internal Medicine and Family Medicine
• Reduce hospital admissions and ER visits
• Reduce the risk of exposure to diseases like COVID-19

Homedica HouseCalls … bringing quality medical care to patients at home !

How It Works…

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If you receive a survey, please take the time to respond. Your answers will help ensure you receive high-quality care at this office.

Participation is voluntary. Your answers are confidential and will never be seen by your provider or affect your health care benefits.

Frequently Asked Questions

Homedica HouseCalls is able to make Telehealth visits via your smart phone or internet connection.  Virtual telehealth visits help you avoid unnecessary exposure to germs, and save you time and money.  More information, click here .

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Homedica’s Response to Confront the COVID-19 Virus

Homedica HouseCalls is a division of The Carpenter Health Network (TCHN). A press release was issued today to notify our patients and employees of the Network’s response to confront the COVID-19, also know as Coronavirus. The Carpenter Health Network Announces Response to Confront COVID-19 Virus Baton Rouge, LA – We know that people are very concerned

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House Call Doctor Visits Make Life Easier for Seniors and Caregivers

Important: This is an informational article to explain how house call doctor visits can benefit seniors. DailyCaring isn’t a medical organization, we aren’t medical professionals, and we aren’t affiliated with any healthcare organizations. We aren’t qualified to respond to any medical questions.

House call doctor visits benefit older adults and caregivers

Getting your older adult to the doctor’s office for an appointment can be difficult or sometimes impossible.

Whether they’re frail, can’t walk on their own, or have Alzheimer’s or dementia , getting out of the house is hard on both of you. Going to a doctor’s office can also expose seniors to germs or harsh weather.

We explain what a house call doctor is, what type of insurance they accept, how to find one, and what to look for in terms of services.

What is a house call doctor?

Today, many doctors are bringing back the old practice of visiting patients in their homes. With house calls, older adults don’t have to go through the stress and difficulty of getting to the doctor’s office. And neither do you.

Another bonus is that these doctors usually spend more time with patients. You won’t have to fit all your questions into a 15 minute visit.

Do they accept Medicare?

Yes, many house call doctors accept Medicare , private insurance, and sometimes Medicaid . It usually costs the same as a regular office visit.

But every house call doctor is different, so make sure you understand their fees and accepted insurance plans before making an appointment.

How to find a house call doctor

Some large health care systems like Kaiser Permanente or the VA have programs that include home visits by doctors and nurses. For example, Kaiser’s home-based palliative care program includes house calls.

Even your older adult isn’t part of a large health network, it’s worthwhile to ask your older adult’s doctor if they have home doctor visit programs.

The American Academy of Home Care Medicine’s provider directory is another way to locate a house call doctor in your area.

You can also use Google to search for “house call doctor” + your city or county or “home doctor visit” + your city or county (don’t include the quotation marks).

What to look for in a house call doctor

Before booking an appointment, make sure you understand the doctor’s services, fees, and billing.

Questions to ask:

• Do you specialize in treating seniors, people with Alzheimer’s or dementia , or those with  multiple chronic conditions ?
• Do you accept Medicare , Medicaid , or my older adult’s private insurance plan?
• If we want, can we also keep my older adult’s primary care doctor?
• Will you communicate with my older adult’s existing doctors and specialists so their care is coordinated?

Examples of house call doctor private practices

We want to be clear that we’re not recommending any specific home doctor services or companies and aren’t affiliated with any of these businesses. These are examples to give you an idea of what a house call doctor looks like and the type of services that are typically offered.

Examples of what a house call doctor looks like:

• Visiting Physicians Association (VPA)
• Bay Area House Call Physicians
• Kindred House Calls

Recommended for you:

• 4 Expert Tips for Managing Multiple Chronic Health Conditions in Seniors
• 7 Tips for Helping Seniors at the Doctor: Being a Health Advocate
• Should Seniors See a Geriatrician?

By DailyCaring Editorial Team Image: Now It Counts

This article wasn’t sponsored and doesn’t contain affiliate links. For more information, see How We Make Money .

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18 comments, tony carrancho.

My parent s lives in [redacted for privacy]. How do i get started locating a house call doctor. I am pretty sure there insurance covers this. Thank you. TONY

DailyCaring

We hope the tips and suggestions in the article above will help you find a house call doctor in your parents’ local area.

Susan Quercio

My 95 year old father has a deep cough and he is disoriented. Temp 99 degrees.

Please contact your father’s doctor immediately or the local hospital to find out how to safely get him examined by a doctor (to reduce risk of exposure to Covid-19).

DailyCaring isn’t a medical organization, we aren’t medical professionals, and we aren’t affiliated with any healthcare organizations.

Ruby m VanNostern

I live in [redacted for privacy] and need a doctor visit in home.

This article includes suggestions for how you can find house call doctor services in your area. At DailyCaring, we aren’t doctors and don’t provide any medical services. We hope you’re able to find a great house call doctor in your area.

Stewart Goldman

need Doctor for a home visit Andrews N.C.

Joseph Artusa

I need a doctor

Linda Williams

I was released from the hospital on Thursday after 5 days.I am not able to go to Dr office but most definitely need to be checked.Still having breaking problems and am very week.I have severe asthma and blood pressure was running very high from so much steroids.Could I possibly get help.Thanks so much.

I’m so sorry to hear that you’re not feeling well. Since you’re noticing some issues with your recovery, it’s essential to call your primary doctor immediately. Since they’re the ones who have been treating you and are familiar with your recent hospitalization, they’re the best people to advise you on what you need. If you need help getting to your doctor’s office, you may want to contact your local Area Agency on Aging or a ride sharing service. Or, use the tips in this article to search for a doctor in your area who makes house calls.

Here are some articles that may be helpful: — 8 Ridesharing Services for Seniors https://dailycaring.com/8-ridesharing-services-for-seniors/ — 6 Affordable Senior Transportation Options https://dailycaring.com/6-affordable-senior-transportation-options/ — Local Community Resources for Seniors and Caregivers: Area Agency on Aging (to connect you with local organizations that may be able to help) https://dailycaring.com/local-community-resources-for-seniors-and-caregivers-area-agency-on-aging/ — 4 Ways to Know If Seniors Need to Return to the Hospital https://dailycaring.com/4-ways-to-know-if-seniors-need-to-return-to-the-hospital/

(DailyCaring doesn’t provide any services and isn’t affiliated with any medical providers.)

What areas do you service?

This article explains that house call doctor services are available and could help senior and caregivers. We also share suggestions for finding one in your area, but we do not provide any services ourselves. I hope you’re able to find a great local house call doctor!

What areas do you service

This article includes suggestions for finding house call doctor services in your area. We at DailyCaring aren’t doctors and don’t provide any medical services. I hope you’re able to find a great house call doctor in your area.

need a home care doctor

I hope the information above helps you find a great home care doctor in your area.

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House Call Program - MedStar Total Elder Care

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Promoting the health and dignity of frail elders

Many elders struggle with disability and severe chronic illness and have difficulty getting to the doctor’s office. As a result, their health may suffer and lead to unnecessary ER visits, hospitalization, or nursing home care. In 1999, recognizing the needs of such elders and their families, we created the MedStar House Call program - MedStar Total Elder Care to provide full medical and social services that help elders remain in their homes with dignity. These teams now serve both Washington, D.C., and Baltimore, MD.

The MedStar House Call Program - MedStar Total Elder Care is nationally recognized for the quality and outcomes of our care. We serve patients at home with a team of geriatricians, nurse practitioners (NPs), social workers, office nurses, and coordinators. We make routine and urgent house calls (in-person or via telehealth with video or audio-only phone visits). Our medical staff is also available by phone 24/7 for urgent issues. We provide access to state-of-the-art hospital and specialty care. Additionally, our physician team follows our patients if and when they are admitted to the MedStar Washington Hospital Center.

The House Call program serves our neighbors in Washington, D.C., and Baltimore.

Medstar house call program .

(operating under MedStar Total Elder Care, LLC) 

Our program services

Medical house calls and primary care by doctors and nurse practitioners with expertise in the care of older adults

Counseling and caregiver support by social workers and team staff

We offer tests and treatments at-home, and at the hospital as needed

Home delivery of most medications and equipment

Coordination of specialist care at MedStar Washington or MedStar Good Samaritan

Coordination of home nursing, rehab therapy, and hospice

Coordination of support services such as home aides and legal assistance

On-call physicians: 24 hours a day, 7 days a week (by phone)

Mobile electronic health record (EHR)

D.C. Neighborhood only – Case management for Medicaid Elderly Persons with Disabilities (EPD) Waiver

Hospital care and specialists

Our team coordinates emergency, hospital, and specialty care at MedStar Washington and MedStar Good Samaritan. Patients may keep their previous specialist doctors; we work with them as needed. We refer to MedStar Good Samaritan, MedStar Washington, for home-based podiatry or other new specialist care. If House Call patients require hospitalization, and 911 is not needed, our team can arrange transportation and admission to MedStar Good Samaritan or MedStar Washington when beds are available.

Social work services

Our dedicated team of social workers provides:

Psychosocial assessment

Care Coordination

Development of an individual treatment plan

Information and referral to community resources and supports

Caregiver education, support, and counseling

Advocacy to connect with other service networks and legal counseling

Crisis intervention

Assistance with identifying alternative living arrangements, as needed

Eligibility

Enrollment and insurance.

To qualify for the MedStar House Call Program, patients must:

Be 65 years or older and have difficulty getting to the doctor’s office

Have Medicare, Medicaid, or another participating insurance plan

Stop seeing their previous primary doctor and agree to have us take on that role following the first visit

Live in a qualifying ZIP code

Our office is open 8:30 a.m. to 4:30 p.m., Monday - Friday.

When calling about new patient enrollment, please have the following information:

Patient's name, address, telephone number

Patient's date of birth and social security number

Patient's next of kin and emergency contact information

Patient's health insurance information (including type and group number)

Patient's current medical conditions and concerns

Ability to retrieve patient's recent medical records

Baltimore neighbors, print and complete our  Intake Questionnaire form

As in most doctor's offices, your main health insurance (such as Medicare) covers 80 percent of House Call visit fees, and any secondary insurance covers the other 20 percent. The patients who do not have any secondary insurance are responsible for the 20 percent co-pay.

Qualifying ZIP codes

View the map below to check if you live in a qualifying ZIP code. Call our Washington, D.C., or Baltimore location to confirm MedStar House Call Program eligibility at your exact address.

Washington, D.C.,

View our brochures

Baltimore region brochure

Washington, D.C., region brochure

Washington, D.C., region team - 202-877-0570

Physicians Eric De Jonge, MD, – Section Director Guy (Binny) Chang, MD Nurse Practitioners Nancy Sassa, CRNP - Chief Alexandra (Caitlin) Geary, CRNP Michelle Sullivan, CRNP Office Nurse Kendel Ogbeab, RN Social Workers Gretchen Nordstrom, LICSW - Chief Kellie Jones, LICSW Ruth Shea, LICSW Operations Manager Isi Koroma Care Coordinators LaWanda Holeman Sandra Mills Carrie Carmon Yvette Williams

Baltimore region team – 443-444-6100

Physicians George Taler, MD Sharareh Badri, MD Nurse Practitioner Dorothy Were, CRNP Adama Panda, CRNP Nurse Nerland Dimanche, RN, MSN Social Worker Marina Nellius, LMSW Operations Director Shereen Greene, MBA Care Coordinator Taurshica Lee

Operational support

Executive Director George Hennawai, MD AVP Operations Julie Beecher, MS, MPH

Baltimore Neighborhood

To learn more about our services in the Baltimore region, call us today.at 443-444-6100.

Washington, D.C., Neighborhood

To learn more about our services in the Washington, D.C., region, call us today at 202-877-0570

Related services

(480) 452-0086

[email protected]

• Designed to treat your health without restrictions

Easy access directly to your Doctor

Spend the time you need to get answers about your health

Lower-cost, affordable healthcare options

Works with your high deductible plan, or alone

Have Questions? Want to know how our plans work? Fill out this form and someone from our staff will contact you,

No Obligation.  

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Phoenix Area Mobile Medical Doctor

#1 Trusted Mobile Family Doctor in The Phoenix Valley

Desert Mobile Medical is a House Calls practice. We are 100% mobile, meaning a house call doctor will come to you, either to your home or to your office! You no longer have to wait in a doctor’s office to get the best care you deserve. Currently serving the Greater Phoenix Metro Valley Area.

Insurance is not required to join our medical practice. We cut out the middleman (Health Insurance), so that we may dedicate all of our time to YOU, the patient. You receive the best-in-class medical care that there is to offer for you and your loved ones.

We gladly accept patients that currently have insurance, but we do not bill them for you. Many patients have high deductible insurance plans and our services work with that. Meaning, if you are responsible for all medical costs up to your deductible, we can utilize our network and services to lower those out-of-pocket costs for you.

Why Choose a House Call Doctor from Desert Mobile Medical?

When you are ready to make the change to concierge medicine, choosing us as your physician of choice will give you full access to a full suite of services.

As a Direct Primary Care Physician who makes house calls, Paresh Goel, MD,Manish Patel, MD & Ronald Miller, MD builds strong relationships with a limited number of patients.

With at-home blood draw services and mobile lab services, the most common and routine lab tests can come directly to you. Now including at home Covid-19 testing.

Our ultrasound technicians use state-of-the-art equipment and follow strict safety protocols to ensure that you receive the highest quality care.

Virtual Doctor Appointments give our patients the ability to experience concierge medicine from the comfort of your own home. Another way to have contactless connection with your physician.

Help relieve your muscular aches and pain with concierge massage therapy. Louis Eberle, LMT  has a goal of not only bringing muscular pain relief through proper therapeutic muscle manipulation, but helps his clients enjoy a higher quality of life from a muscular standpoint.

Experience concierge physical therapy like never before in the experienced hands of Jordan Cavanaugh, PT, DPT. At Desert Mobile Medical, our goal is to go above and beyond to help you achieve your physical wellness goals.

Identifying and prescribing the right medications to promote your optimal health is another way Desert Mobile Medical brings in-home medical care straight to you. We dispense directly to you. No need to go to the pharmacy anymore

Working with your mobile doctor, you can discuss a vaccination plan that provides the right level of protection based on your unique risk factors.

As a result of normal aging or other medical conditions, estrogen and testosterone levels may drop or become out of balance. We help restore that imbalance with bio-identical and balanced hormone replacement

We now offer at home IV fluids and IV Nutrition for you and your family

ABOUT – Dr. Paresh M. Goel, MD

Dr. Goel has been in practice since 2010 and is the founder of Desert Mobile Medical | Concierge Physicians. He grew up in the New York Metro area, and completed his B.S. & M.B.A. in Finance & Economics at St John’s University in NY. He attended his medical school at M.S. Ramaiah Medical College in India, and his completed both his Internship & Residency programs at Brookdale University Medical Center in NY…

Q: Do you take Insurance?

Q: do you work with businesses or corporations.

Keep Your Employees & Attract New Ones

• Health benefits have been shown to be the #1 benefit employees look for when looking for a new job and the main tool for retaining high-quality employees.

Save Your Business Money

• Small businesses spend an average of $3000 per year per employee on healthcare costs. With Desert Mobile Medical, our membership packages can save you over $2000 per employee!

Affordable And Convenient

• No co-pays. No deductibles. A house call doctor will come to you which reduces worker’s compensation cases, fewer hospitalizations, and fewer urgent care visits.

Typically 90% of issues can be solved with direct primary care yet most people are paying huge fees for their healthcare.  With our system, you can cut most of those costs out, and get better care from the comfort of your own home. Our fiscal year just ended and our hospitalization rates for 2019 were 3.0%, our urgent care visits, and our worker’s comp cases were 0%.

Q: How much does it cost?

Q: what are the benefits of home-based direct primary care.

Desert Mobile Medical is Healthcare built around you meaning we are convenient (since we come to your home), we are flexible (we typically accommodate for same day or next day appointments), and affordable and privacy (we take out the middleman, health insurance, to give you quality healthcare with no hidden costs or impossibly complicated invoices).

Overall one of the biggest benefits is saving on lost time. Not only the lost time of driving to and then waiting at the doctor’s office, but also because we give the time needed we can make sure you have the best care resulting in a more effective you.

Q: So what is the catch?

Desert Mobile Medical is located at 9300 E Raintree Dr. Suite 130 Scottsdale AZ.

Monday – Thursday 8:00am – 6:00pm, Friday 08:00 – 3:00pm For additional questions you can call us at (480) 452-0086 or you can find us on Yelp and Superpages .

When you are ready to make the change to concierge medicine, choosing the best local physician will give you access to a full suite of services.

Desert Mobile Medical | Concierge Physicians 9 300 E Raintree Dr. Suite 130, Scottsdale, AZ 85260.

Phone: (480) 452-0086 Fax: (480) 462-4966 Email: [email protected]

MONDAY – FRIDAY 08:00 AM – 06:00 PM FRIDAY 08:00am – 3:00pm Weekend Appointment Available

© 2024 Desert Mobile Medical | Privacy Policy | Terms & Conditions | Hiring |

"Urgent Care Sites are accepting Walk-Ins ONLY, due to COVID-19 increase."

"protect yourself from covid-19 - testing. vaccines. boosters and covid-19 care.", "don't lose your health insurance recertify your medicaid insurance now and stay healthy.".

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Essen House Calls

We bring the doctor’s office right to your doorstep.

Periodic checkups allow doctors to locate and eliminate potential diseases at an early stage and help you adopt a healthier, more balanced lifestyle. However, regular visits are difficult, and sometimes out-of-the-question for home-bound patients. This can force them to not seek out the healthcare they need, and this can have detrimental effects on their overall health.

With our efficient and comprehensive home care services, Essen House Calls strives to exceed expectations and bring our patients the best of our office setting for a thorough medical checkup – at home.

Our friendly, adaptive, and multilingual staff will make House Calls a pleasant experience for everyone, and we’re glad to accept a wide variety of insurance plans. Most visits can be scheduled within 24-48 hours, too, so you don’t have to worry about availability and booking.

Services We Provide

• Chronic Disease Management
• Coordinated Home Care
• Diagnostic Testing and Imaging
• Interim Care
• Routine Care
• Specialty Care
• Care Coordination Services
• Transition of Care

Get in touch. to Set Up a Home Visit Today

Our staff’s always ready and on call to receive your request and schedule emergency or timed visits at your convenience. To learn more about Essen House Calls, schedule an appointment online, email us , or give us a call at (718) 294-6200 today!

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214-466-6618

[email protected]

Reason: Prescription issue

Customer Service:

24/7 service

Call back available daily from 5 am ct- 3 am ct, live call (customer service), phone: +1 (214) 466-6618 +1 (214) 466-6618.

Live Call Availability:

Daily from 5 am CT- 3 am CT

Text us: +1 (214) 466-6618 +1 (214) 466-6618, privacy policy.

Callondoc.com (“Callondoc”, “we”, “us” or “our”) takes the privacy and the security of its users' data (like you) very seriously. This Privacy Policy explains how we process your personal data when you use our products and services. In addition, the following applies to your use of Callondoc.com Products and Services ("Product(s) and Service(s)")

The products and services are composed of various software applications (including mobile applications, web Applications, PC software), and products that gather, store and process data to provide you insights and services to help you lead a healthier life.

What Information do we collect and when?

When you are using  Callondoc.com Products and Services, we may need to collect data to provide you the Service as described in the Callondoc’s Privacy Policy. As transparency and easy access are key factors for us, we have created this list of pictograms so that you can easily identify what Personal data is processed in the following scenarios.

Our intake form asks users to enter sensitive information (such as personal health information or credit card number). That information is protected by 128-bit encryption via SSL (Secure Sockets Layer). Identity data means the data which can directly identify you. They include, among others, your email address, birth date, name, last name, phone number, delivery address, IP address, videos and pictures of you. 

Cookies – technical features mean data, not directly identifying you, which allows you to use our Products and Services and allow us to improve your personal experience. They are, among others, your Wi-Fi network, technical logs, date of Product activation, battery measurement, manufacturing ID, debug technical information.

"By using our website, you (the visitor) agree to allow third parties to process your IP address, in order to determine your location for the purpose of currency conversion. You also agree to have that currency stored in a session cookie in your browser (a temporary cookie which gets automatically removed when you close your browser). We do this in order for the selected currency to remain selected and consistent when browsing our website so that the prices can convert to your (the visitor) local currency." 

When you use our applications, certain Personal data is communicated to applications when you download, install, and use features of the application and the web application. This is the case when you sync information to products.

When you contact our customer support, we may need your personal data to help you solve the problems.

Telemedicine visit

A telemedicine visit may require personal permissions to your advice, such as getting SMS information and phone status, while we only can access them under your allowance. The main purpose of this is to display data on the smartwatch and hang up the phone service through the watch. There is no other malicious intent and no violation of our user data policy on personal and sensitive information. We strictly follow the associated rule of personal information protection and privacy rights. 

Why Do We Process Personal Data and Health history?

Callondoc.com may process your personal data and health history for the following purposes. One or more purposes may apply simultaneously.

For communication: we may use your email to communicate with you, for example to inform your medication has been e-prescribed.

For diagnosis, treatment and providing appropriate medical recommendations. 

How do we use your Personal data?

The data you have generated and collected through Callondoc.com Products and Services is processed by  Callondoc.com as described in Callondoc.com Privacy Policy and for the following specific purposes. One or more purposes may apply simultaneously:

Communicating with you. When you contact our customer support department to resolve a problem that you have reported, our team members may be required to process your Personal data to help you.

We may contact you to inform you of new products, services or promotions we may offer and to conduct market research when we have your consent or it is otherwise allowed. We may use your personal data to personalize our offering and to provide you with more relevant services. For example, to make prescription recommendations.

Do We Share Personal Data?

We do not sell, lease, rent or otherwise disclose your personal data to third parties. At Callondoc.com , protecting the privacy of our users is of utmost importance. We firmly believe that data can serve the collective interest when de-identified and that the insights provided by our Products and Services may allow you to make informed choices and sustainable changes.

Where is your Personal data kept?

Unless otherwise required by your local laws, your Personal data is stored within the United States and are subject to regulations that guarantee a high level of protection for your Personal data.

Changes to This Privacy Policy

Callondoc.com may from time to time change this Policy or modify, withdraw access to this site at any time with or without notice. However, if this Policy is changed in a material, adverse way,  Callondoc.com will post a notice advising of such change at the beginning of this Policy and on this site's home page for 30 days. We recommend that you revisit this Policy from time to time to learn of any such changes to this Policy.

Our Responsibilities

CallonDoc.com manages patient's Information in compliance with HIPAA Rules and U.S. Department of Health & Human Services (HSS).

Disclosure of Information: CallonDoc Inc will not use or disclose patient's Information in any way that is prohibited by law. 

Securing of Information : CallonDoc Inc will secure patient's Information to prevent unauthorized use or disclosure, including implementing requirements of the HIPAA Rules.

Breach of Information:  CallonDoc Inc will report to You any breaches of Your Information.

Account of Information request:  CallonDoc Inc will communicate when a patient requests an account of their Information and assist in responding, completing or denying the request. 

Subcontractors Compliance: CallonDoc Inc will ensure that any subcontractors it may engage with that have access to Your Information will agree to the same restrictions and conditions that apply to CallonDoc Inc with respect to You or Your  Information.

Your HIPAA Rules Obligations: CallonDoc Inc will carry out Your obligation under the HIPAA Rules that require CallonDoc Inc to comply with the requirements applicable to the obligation.

Your Health & Human Services (HHS) Compliance: CallonDoc Inc will make available to the Department of Health and Human Services (HHS) Our internal practices, books, and records relating to the use and disclosure of Protected Health Information (PHI) received from, created, or received by CallonDoc Inc on behalf of You.

Your Health Information Rights 

The health and billing records we maintain are the physical property of Callondoc.com . You have the right to: 

Request a restriction on certain uses and disclosures of your health information by delivering the request to our office--we are not required to grant the request, but we will comply with any request we do decide to grant; 

Obtain a paper copy of the current Notice of Privacy Practices for Protected Health Information (“Notice”) by making a request at our office; 

Request that you be allowed to inspect and copy your health record and billing record--you may exercise this right by delivering the request to our office; 

Appeal any denial of access to your protected health information, except in certain circumstances; 

Request that your health care record be amended to correct incomplete or incorrect information by delivering a request to our office. We may deny your request if you ask to amend information that was not created by the facility, unless the person or entity that created the information is no longer available to make an amendment; Is not part of the health information kept by or for the facility; Is not part of the information that you would be permitted to inspect or copy; or,Is accurate and complete.

If your request is denied, you will be informed of the reason for the denial and will have an opportunity to submit a statement of disagreement to be maintained with your records; 

Request that communication of your health information be made by alternative means or at an alternative location by delivering the request in writing to our office; 

Obtain an accounting of certain disclosures of your health information that we are required to maintain by delivering a request to our office. An accounting will not include uses and disclosures of information for treatment, payment, or operations; disclosures or uses made to you or made at your request; uses or disclosures made pursuant to an authorization signed by you; uses or disclosures made in a facility directory or to family members or friends relevant to that person’s involvement in your care or payment for such care; or, uses or disclosures to notify family or others responsible for your care of your location, condition, or your death. 

Revoke authorizations that you made previously to use or disclose information by delivering a written revocation to our office, except to the extent information or action has already been taken. 

To Request Information or File a Complaint 

If you have questions, would like additional information, want to report a problem regarding the handling of your information, or want to exercise any of your rights as outlined in this Notice, you may contact us by mail, phone:

8355 Walnut Hill Ln, Dallas, TX 75231

Phone: 214-305-2717

Current patients can connect with us through the messaging center in their patient portal or click "contact us."

We will inform you of the steps that need to be taken to exercise your rights.

Additionally, if you believe your privacy rights have been violated, you may file a written complaint with our Privacy Officer at the address indicated above. 

To Request Account Deletion

By utilizing the services of  callondoc.com , it is a requirement and necessity for our providers to have access to the information collected to be able to safely review and provide medical treatment in accordance to best practices and medical guidelines. 

Information we are collecting includes but is not limited to: Name, Email, Phone Number, Gender, Race as well as device information such as Device ID, Device Name, Device OS Version.

Callondoc.com collects information about the device used to access our services to provide the most up-to-date version of our products and services on your specific device for ease of use and to follow device updates from the manufacturer. 

To delete your account, simply access the Profile section on Call-On-Doc app and delete it or you can connect with us for the account deletion. You can also recover your account by just signing in with your credentials and two factor authentication or you can connect with us for account activation.

Your Responsibilities

1. Minimum Information to CallonDoc Inc

You are responsible to provide CallonDoc Inc only the minimum Personal Information and Health history necessary to accomplish the Service.

2. Follow HIPAA Rules

You are responsible for using administrative, physical, and technical safeguards at all times to maintain and ensure the confidentiality, privacy, and security of Information transmitted to CallonDoc Inc, in accordance with the standards and requirements of HIPAA Rules.

3. Requests that violate HIPAA Rules

You cannot request CallonDoc Inc to use or disclose Information in any manner that would violate the Code of Federal Regulations 45 CFR Part 164 subpart E.

Questions about this Agreement? Connect with us through the messaging center in patient portal or click "contact us."

Thank you for contacting us, we will get back to you soon!

We'll be right back!

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(You can contact us via email at [email protected])

[email protected]

(508) 287-7484

NP House Calls of Massachusetts, LLC

Bringing healthcare to your home!

 NP House Calls of Massachusetts, LLC specializes in the care of the older adult. We are able to bring the medical office visit to your home. If you have trouble leaving your home for medical care, we have what you need. Visits include assessment, diagnosis and management of acute and chronic illness (including lab draws, referrals for specialty care and prescribing medication), and wellness promotion. We are not offering RN skilled nursing visits at this time. This is Nurse Practitioner home visits, in person at your home. Offering primary care, transitional care and palliative care services.

Am I eligible for visits at home?

If it is difficult to get into a medical office  to access your health care, then home visits are likely covered by your insurance in the same manner as a regular visit to your Primary Care Provider's office. Insurance companies have specific criteria for  payment for house calls. House call visits are for patients that have this type of challenge with attending traditional office visits and not merely for convenience. Currently only able to see patients within a 30 mile radius of our Middleboro office.

How often will I have a home visit?

As often as medically necessary. Most people have visits every 3-4 months for evaluation and management of chronic medical conditions. Episodic visits for acute conditions are also a reason for a home visit.

Do you accept my health insurance?

We accept many health insurances, including Medicare Part B, Mass Health and many supplemental insurances including Harvard Pilgrim, Blue Cross, Cigna, Commonwealth Care, Humana, and TriCare. Deductibles or co-payments required for medical services and are handled in the same way as a trip to a medical office.

Medicare Advantage plans (while they may be less expensive than traditional Medicare) often limit which providers you can see and the services you would be eligible for. In addition some will not cover Primary Care at home. Please contact your insurance plan to answer specific coverage questions.

Does NP House Calls of Massachusetts offer rehab services at home?

We refer to and work collaboratively with Visiting Nurse Agencies (VNA's) who provide home health nurses, occupational therapists, physical therapists and speech therapists when medically necessary.

Can I still see my Primary Care Provider?

If you choose to. In some circumstances, NP House Calls of Massachusetts can act as secondary healthcare provider. Our Nurse Practitioners can advise your PCP during your course of treatment as well as consult with any specialty providers you have (as needed).

For patients that qualify for home visits, they often have not seen their PCP in person for an extended time frame, due to the limits on getting in to the office setting and many PCP’s encourage the transition to home visits. Please discuss any concerns you may have about whether this will be beneficial for you with your own PCP for their position on this type of care.

Medicare Advantage plans require that the patient select a PCP be named on his/her insurance card. If you have one of these plans, and have contacted your insurance company to clarify coverage, your NP House Calls Nurse Practitioner must be named as your primary care provider for the home primary care services to be covered.

Do you offer home health aid services?

Unfortunately not, but we may be able to refer for and make recommendations to agencies that can.

What areas of Massachusetts do you provide services?

Currently, we are able to see patients within a 30-mile radius of Middleboro, Massachusetts.

Are your services available 24 hours per day?

 NP House Calls of Massachusetts is a house calls primary care practice accepting insurance payments for service. We provide primary care services in the home during business hours. After hours we do have voicemail and messages left should not be urgent in nature. For emergency services, patients of the practice should use services for emergency care such as hospital ER or Urgent Care. For non-urgent issues, calls will be returned during business hours. We are able to discuss this more in depth by phone upon request.

Do you provide services at Rest Homes, Assisted Living Facilities and Group Homes?

Yes, these are considered homes and qualify for home care as long as the individual is unable to independently attend medical appointments in the traditional office setting. We are unable to provide this service in long-term care facilities which operate under a different standard for care. 

Are you able to care for patients with dementia or cognitive limitations?

We have had experience caring for patients with cognitive impairment and dementia diagnoses. We can provide recommendations and guidance in caring for patients with these conditions. If you have specific questions or concerns please contact us to discuss .

Do you provide URGENT visits?

We provide episodic visits for patients that we have established care with. For example, if we have already been to your home and set up Primary Care and you develop a health concern like a cough or a skin problem, call and you can have a home visit from a provider to address the issue. Unfortunately, we are unable to provide URGENT or EMERGENCY visits.

What if I end up in a hospital or a rehab center, what do I tell them about communication with NP House Calls?

If you have already been established as a patient of NP House Calls of Massachusetts, please advise the hospital or rehab of this as soon as you or your representative is able. It is important for communication to be established early, to help ensure that information needed for care is shared. All contact information is listed within this website. In most circumstances we are able to communicate with these facilities and assist with the process of clear communication in transitions of care.

 I am a referring provider/facility: How do I refer a patient to NP House Calls of Massachusetts, LLC?

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The Possible Collapse of the U.S. Home Insurance System

A times investigation found climate change may now be a concern for every homeowner in the country..

This transcript was created using speech recognition software. While it has been reviewed by human transcribers, it may contain errors. Please review the episode audio before quoting from this transcript and email [email protected] with any questions.

From “The New York Times,” I’m Sabrina Tavernise. And this is “The Daily.”

[MUSIC PLAYING]

Today, my colleague, Christopher Flavelle, on a “Times” investigation into one of the least known and most consequential effects of climate change — insurance — and why it may now be a concern for every homeowner in the country.

It’s Wednesday, May 15.

So, Chris, you and I talked a while ago about how climate change was really wreaking havoc in the insurance market in Florida. You’ve just done an investigation that takes a look into the insurance markets more broadly and more deeply. Tell us about it.

Yeah, so I cover climate change, in particular the way climate shocks affect different parts of American life. And insurance has become a really big part of that coverage. And Florida is a great example. As hurricanes have gotten worse and more frequent, insurers are paying out more and more money to rebuild people’s homes. And that’s driving up insurance costs and ultimately driving up the cost of owning a home in Florida.

So we’re already seeing that climate impact on the housing market in Florida. My colleagues and I started to think, well, could it be that that kind of disruption is also happening in other states, not just in the obvious coastal states but maybe even through the middle of the US? So we set out to find out just how much it is happening, how much that Florida turmoil has, in fact, become really a contagion that is spreading across the country.

So how did you go about reporting this? I mean, where did you start?

All we knew at the start of this was that there was reason to think this might be a problem. If you just look at how the federal government tracks disasters around the country, there’s been a big increase almost every year in the number and severity of all kinds of disasters around the country. So we thought, OK, it’s worth trying to find out, what does that mean for insurers?

The problem is getting data on the insurance industry is actually really hard. There’s no federal regulation. There’s no government agency you can go to that holds this data. If you talk to the insurers directly, they tend to be a little reluctant to share information about what they’re going through. So we weren’t sure where to go until, finally, we realized the best people to ask are the people whose job it is to gauge the financial health of insurance companies.

Those are rating agencies. In particular, there’s one rating company called AM Best, whose whole purpose is to tell investors how healthy an insurance company is.

Whoa. So this is way down in the nuts and bolts of the US insurance industry.

Right. This is a part of the broader economy that most people would never experience. But we asked them to do something special for us. We said, hey, can you help us find the one number that would tell us reporters just how healthy or unhealthy this insurance market is state by state over time? And it turns out, there is just such a number. It’s called a combined ratio.

OK, plain English?

Plain English, it is the ratio of revenue to costs, how much money these guys take in for homeowner’s insurance and how much they pay out in costs and losses. You want your revenue to be higher than your costs. If not, you’re in trouble.

So what did you find out?

Well, we got that number for every state, going back more than a decade. And what it showed us was our suspicions were right. This market turmoil that we were seeing in Florida and California has indeed been spreading across the country. And in fact, it turns out that in 18 states, last year, the homeowner’s insurance market lost money. And that’s a big jump from 5 or 10 years ago and spells real trouble for insurance and for homeowners and for almost every part of the economy.

So the contagion was real.

Right. This is our first window showing us just how far that contagion had spread. And one of the really striking things about this data was it showed the contagion had spread to places that I wouldn’t have thought of as especially prone to climate shocks — for example, a lot of the Midwest, a lot of the Southeast. In fact, if you think of a map of the country, there was no state between Pennsylvania and the Dakotas that didn’t lose money on homeowner’s insurance last year.

So just huge parts of the middle of the US have become unprofitable for homeowner’s insurance. This market is starting to buckle under the cost of climate change.

And this is all happening really fast. When we did the Florida episode two years ago, it was a completely new phenomenon and really only in Florida. And now it’s everywhere.

Yeah. And that’s exactly what’s so striking here. The rate at which this is becoming, again, a contagion and spreading across the country is just demolishing the expectations of anyone I’ve spoken to. No one thought that this problem would affect so much of the US so quickly.

So in these states, these new places that the contagion has spread to, what exactly is happening that’s causing the insurance companies to fold up shop?

Yeah. Something really particular is happening in a lot of these states. And it’s worth noting how it’s surprised everyone. And what that is, is formally unimportant weather events, like hailstorms or windstorms, those didn’t used to be the kind of thing that would scare insurance companies. Obviously, a big problem if it destroys your home or damages your home. But for insurers, it wasn’t going to wipe them out financially.

Right. It wasn’t just a complete and utter wipeout that the company would then have to pony up a lot of money for.

Exactly. And insurers call them secondary perils, sort of a belittling term, something other than a big deal, like a hurricane.

These minor league weather events.

Right. But those are becoming so frequent and so much more intense that they can cause existential threats for insurance companies. And insurers are now fleeing states not because of hurricanes but because those former things that were small are now big. Hailstorms, wildfires in some places, previous annoyances are becoming real threats to insurers.

Chris, what’s the big picture on what insurers are actually facing? What’s happening out there numbers-wise?

This is a huge threat. In terms of the number of states where this industry is losing money, it’s more than doubled from 10 years ago to basically a third of the country. The amount they’re losing is enormous. In some states, insurers are paying out $1.25 or even $1.50 for every dollar they bring in, in revenue, which is totally unsustainable.

And the result is insurers are making changes. They are pulling back from these markets. They’re hiking premiums. And often, they’re just dropping customers. And that’s where this becomes real, not just for people who surf balance sheets and trade in the stock market. This is becoming real for homeowners around the country, who all of a sudden increasingly can’t get insurance.

So, Chris, what’s the actual implication? I mean, what happens when people in a state can’t get insurance for their homes?

Getting insurance for a home is crucial if you want to sell or buy a home. Most people can’t buy a home without a mortgage. And banks won’t issue a mortgage without home insurance. So if you’ve got a home that insurance company doesn’t want to cover, you got a real problem. You need to find insurance, or that home becomes very close to unsellable.

And as you get fewer buyers, the price goes down. So this doesn’t just hurt people who are paying for these insurance premiums. It hurts people who want to sell their homes. It even could hurt, at some point, whole local economies. If home values fall, governments take in less tax revenue. That means less money for schools and police. It also means people who get hit by disasters and have to rebuild their homes all of a sudden can’t, because their insurance isn’t available anymore. It’s hard to overstate just how big a deal this is.

And is that actually happening, Chris? I mean, are housing markets being dragged down because of this problem with the insurance markets right now?

Anecdotally, we’ve got reports that in places like Florida and Louisiana and maybe in parts of California, the difficulty of getting insurance, the crazy high cost of insurance is starting to depress demand because not everyone can afford to pay these really high costs, even if they have insurance. But what we wanted to focus on with this story was also, OK, we know where this goes eventually. But where is it beginning? What are the places that are just starting to feel these shocks from the insurance market?

And so I called around and asked insurance agents, who are the front lines of this. They’re the ones who are struggling to find insurance for homeowners. And I said, hey, is there one place that I should go if I want to understand what it looks like to homeowners when all of a sudden insurance becomes really expensive or you can’t even find it? And those insurance agents told me, if you want to see what this looks like in real life, go to a little town called Marshalltown in the middle of Iowa.

We’ll be right back.

So, Chris, you went to Marshalltown, Iowa. What did you find?

Even before I got to Marshalltown, I had some idea I was in the right spot. When I landed in Des Moines and went to rent a car, the nice woman at the desk who rented me a car, she said, what are you doing here? I said, I’m here to write a story about people in Iowa who can’t get insurance because of storms. She said, oh, yeah, I know all about that. That’s a big problem here.

Even the rental car lady.

Even the rental car lady knew something was going on. And so I got into my rental car and drove about an hour northeast of Des Moines, through some rolling hills, to this lovely little town of Marshalltown. Marshalltown is a really cute, little Midwestern town with old homes and a beautiful courthouse in the town square. And when I drove through, I couldn’t help noticing all the roofs looked new.

What does that tell you?

Turns out Marshalltown, despite being a pastoral image of Midwestern easy living, was hit by two really bad disasters in recent years — first, a devastating tornado in 2018 and then, in 2020, what’s called a derecho, a straight-line wind event that’s also just enormously damaging. And the result was lots of homes in this small town got severely damaged in a short period of time. And so when you drive down, you see all these new roofs that give you the sense that something’s going on.

So climate had come to Marshalltown?

Exactly. A place that had previously seemed maybe safe from climate change, if there is such a thing, all of a sudden was not. So I found an insurance agent in Marshalltown —

We talked to other agents but haven’t talked to many homeowners.

— named Bobby Shomo. And he invited me to his office early one morning and said, come meet some people. And so I parked on a quiet street outside of his office, across the street from the courthouse, which also had a new roof, and went into his conference room and met a procession of clients who all had versions of the same horror story.

It was more — well more of double.

A huge reduction in coverage with a huge price increase.

Some people had faced big premium hikes.

I’m just a little, small business owner. So every little bit I do feel.

They had so much trouble with their insurance company.

I was with IMT Insurance forever. And then when I moved in 2020, Bobby said they won’t insure a pool.

Some people had gotten dropped.

Where we used to see carriers canceling someone for frequency of three or four or five claims, it’s one or two now.

Some people couldn’t get the coverage they needed. But it was versions of the same tale, which is all of a sudden, having homeowner’s insurance in Marshalltown was really difficult. But I wanted to see if it was bigger than just Marshalltown. So the next day, I got back in my car and drove east to Cedar Rapids, where I met another person having a version of the same problem, a guy named Dave Langston.

Tell me about Dave.

Dave lives in a handsome, modest, little townhouse on a quiet cul-de-sac on a hill at the edge of Cedar Rapids. He’s the president of his homeowners association. There’s 17 homes on this little street. And this is just as far as you could get from a danger zone. It looks as safe as could be. But in January, they got a letter from the company that insures him and his neighbors, saying his policy was being canceled, even though it wasn’t as though they’d just been hit by some giant storm.

So then what was the reason they gave?

They didn’t give a reason. And I think people might not realize, insurers don’t have to give a reason. Insurance policies are year to year. And if your insurance company decides that you’re too much of a risk or your neighborhood is too much of a risk or your state is too much of a risk, they can just leave. They can send you a letter saying, forget it. We’re canceling your insurance. There’s almost no protection people have.

And in this case, the reason was that this insurance company was losing too much money in Iowa and didn’t want to keep on writing homeowner’s insurance in the state. That was the situation that Dave shared with tens of thousands of people across the state that were all getting similar letters.

What made Dave’s situation a little more challenging was that he couldn’t get new insurance. He tried for months through agent after agent after agent. And every company told him the same thing. We won’t cover you. Even though these homes are perfectly safe in a safe part of the state, nobody would say yes. And it took them until basically two days before their insurance policy was going to run out until they finally found new coverage that was far more expensive and far more bare-bones than what they’d had.

But at least it was something.

It was something. But the problem was it wasn’t that good. Under this new policy, if Dave’s street got hit by another big windstorm, the damage from that storm and fixing that damage would wipe out all the savings set aside by these homeowners. The deductible would be crushingly high — $120,000 — to replace those roofs if the worst happened because the insurance money just wouldn’t cover anywhere close to the cost of rebuilding.

He said to me, we didn’t do anything wrong. This is just what insurance looks like today. And today, it’s us in Cedar Rapids. Everyone, though, is going to face a situation like this eventually. And Dave is right. I talked to insurance agents around the country. And they confirmed for me that this kind of a shift towards a new type of insurance, insurance that’s more expensive and doesn’t cover as much and makes it harder to rebuild after a big disaster, it’s becoming more and more common around the country.

So, Chris, if Dave and the people you spoke to in Iowa were really evidence that your hunch was right, that the problem is spreading and rapidly, what are the possible fixes here?

The fix that people seem most hopeful about is this idea that, what if you could reduce the risk and cause there to be less damage in the first place? So what some states are doing is they’re trying to encourage homeowners to spend more money on hardening their home or adding a new roof or, if it’s a wildfire zone, cut back the vegetation, things that can reduce your risk of having really serious losses. And to help pay for that, they’re telling insurers, you’ve got to offer a discount to people who do that.

And everyone who works in this field says, in theory, that’s the right approach. The problem is, number one, hardening a home costs a fantastic amount of money. So doing this at scale is hugely expensive. Number two, it takes a long time to actually get enough homes hardened in this way that you can make a real dent for insurance companies. We’re talking about years or probably decades before that has a real effect, if it ever works.

OK. So that sounds not particularly realistic, given the urgency and the timeline we’re on here. So what else are people looking at?

Option number two is the government gets involved. And instead of most Americans buying home insurance from a private company, they start buying it from government programs that are designed to make sure that people, even in risky places, can still buy insurance. That would be just a gargantuan undertaking. The idea of the government providing homeowner’s insurance because private companies can’t or won’t would lead to one of the biggest government programs that exists, if we could even do it.

So huge change, like the federal government actually trying to write these markets by itself by providing homeowner’s insurance. But is that really feasible?

Well, in some areas, we’re actually already doing it. The government already provides flood insurance because for decades, most private insurers have not wanted to cover flood. It’s too risky. It’s too expensive. But that change, with governments taking over that role, creates a new problem of its own because the government providing flood insurance that you otherwise couldn’t get means people have been building and building in flood-prone areas because they know they can get that guaranteed flood insurance.

Interesting. So that’s a huge new downside. The government would be incentivizing people to move to places that they shouldn’t be.

That’s right. But there’s even one more problem with that approach of using the government to try to solve this problem, which is these costs keep growing. The number of billion-dollar disasters the US experiences every year keeps going up. And at some point, even if the government pays the cost through some sort of subsidized insurance, what happens when that cost is so great that we can no longer afford to pay it? That’s the really hard question that no official can answer.

So that’s pretty doomsday, Chris. Are we looking at the end of insurance?

I think it’s fair to say that we’re looking at the end of insurance as we know it, the end of insurance that means most Americans can rest assured that if they get hit by a disaster, their insurance company will provide enough money they can rebuild. That idea might be going away. And what it shows is maybe the threat of climate change isn’t quite what we thought.

Maybe instead of climate change wrecking communities in the form of a big storm or a wildfire or a flood, maybe even before those things happen, climate change can wreck communities by something as seemingly mundane and even boring as insurance. Maybe the harbinger of doom is not a giant storm but an anodyne letter from your insurance company, saying, we’re sorry to inform you we can no longer cover your home.

Maybe the future of climate change is best seen not by poring over weather data from NOAA but by poring over spreadsheets from rating firms, showing the profitability from insurance companies, and how bit by bit, that money that they’re losing around the country tells its own story. And the story is these shocks are actually already here.

Chris, as always, terrifying to talk to you.

Always a pleasure, Sabrina.

Here’s what else you should know today. On Tuesday, the United Nations has reclassified the number of women and children killed in Gaza, saying that it does not have enough identifying information to know exactly how many of the total dead are women and children. The UN now estimates that about 5,000 women and about 8,000 children have been killed, figures that are about half of what it was previously citing. The UN says the numbers dropped because it is using a more conservative estimate while waiting for information on about 10,000 other dead Gazans who have not yet been identified.

And Mike Johnson, the Speaker of the House, gave a press conference outside the court in Lower Manhattan, where Michael Cohen, the former fixer for Donald Trump, was testifying for a second day, answering questions from Trump’s lawyers. Trump is bound by a gag order. So Johnson joined other stand-ins for the former president to discredit the proceedings. Johnson, one of the most important Republicans in the country, attacked Cohen but also the trial itself, calling it a sham and political theater.

Today’s episode was produced by Nina Feldman, Shannon Lin, and Jessica Cheung. It was edited by MJ Davis Lin, with help from Michael Benoist, contains original music by Dan Powell, Marion Lozano, and Rowan Niemisto, and was engineered by Alyssa Moxley. Our theme music is by Jim Brunberg and Ben Landsverk of Wonderly.

That’s it for “The Daily.” I’m Sabrina Tavernise. See you tomorrow.

• May 16, 2024   •   30:47 The Make-or-Break Testimony of Michael Cohen
• May 15, 2024   •   27:03 The Possible Collapse of the U.S. Home Insurance System
• May 14, 2024   •   35:20 Voters Want Change. In Our Poll, They See It in Trump.
• May 13, 2024   •   27:46 How Biden Adopted Trump’s Trade War With China
• May 10, 2024   •   27:42 Stormy Daniels Takes the Stand
• May 9, 2024   •   34:42 One Strongman, One Billion Voters, and the Future of India
• May 8, 2024   •   28:28 A Plan to Remake the Middle East
• May 7, 2024   •   27:43 How Changing Ocean Temperatures Could Upend Life on Earth
• May 6, 2024   •   29:23 R.F.K. Jr.’s Battle to Get on the Ballot
• May 3, 2024   •   25:33 The Protesters and the President
• May 2, 2024   •   29:13 Biden Loosens Up on Weed
• May 1, 2024   •   35:16 The New Abortion Fight Before the Supreme Court

Hosted by Sabrina Tavernise

Featuring Christopher Flavelle

Produced by Nina Feldman ,  Shannon M. Lin and Jessica Cheung

Edited by MJ Davis Lin

With Michael Benoist

Original music by Dan Powell ,  Marion Lozano and Rowan Niemisto

Engineered by Alyssa Moxley

Listen and follow The Daily Apple Podcasts | Spotify | Amazon Music | YouTube

Across the United States, more frequent extreme weather is starting to cause the home insurance market to buckle, even for those who have paid their premiums dutifully year after year.

Christopher Flavelle, a climate reporter, discusses a Times investigation into one of the most consequential effects of the changes.

On today’s episode

Christopher Flavelle , a climate change reporter for The New York Times.

Background reading

As American insurers bleed cash from climate shocks , homeowners lose.

See how the home insurance crunch affects the market in each state .

Here are four takeaways from The Times’s investigation.

There are a lot of ways to listen to The Daily. Here’s how.

We aim to make transcripts available the next workday after an episode’s publication. You can find them at the top of the page.

Christopher Flavelle contributed reporting.

The Daily is made by Rachel Quester, Lynsea Garrison, Clare Toeniskoetter, Paige Cowett, Michael Simon Johnson, Brad Fisher, Chris Wood, Jessica Cheung, Stella Tan, Alexandra Leigh Young, Lisa Chow, Eric Krupke, Marc Georges, Luke Vander Ploeg, M.J. Davis Lin, Dan Powell, Sydney Harper, Mike Benoist, Liz O. Baylen, Asthaa Chaturvedi, Rachelle Bonja, Diana Nguyen, Marion Lozano, Corey Schreppel, Rob Szypko, Elisheba Ittoop, Mooj Zadie, Patricia Willens, Rowan Niemisto, Jody Becker, Rikki Novetsky, John Ketchum, Nina Feldman, Will Reid, Carlos Prieto, Ben Calhoun, Susan Lee, Lexie Diao, Mary Wilson, Alex Stern, Dan Farrell, Sophia Lanman, Shannon Lin, Diane Wong, Devon Taylor, Alyssa Moxley, Summer Thomad, Olivia Natt, Daniel Ramirez and Brendan Klinkenberg.

Our theme music is by Jim Brunberg and Ben Landsverk of Wonderly. Special thanks to Sam Dolnick, Paula Szuchman, Lisa Tobin, Larissa Anderson, Julia Simon, Sofia Milan, Mahima Chablani, Elizabeth Davis-Moorer, Jeffrey Miranda, Renan Borelli, Maddy Masiello, Isabella Anderson and Nina Lassam.

Christopher Flavelle is a Times reporter who writes about how the United States is trying to adapt to the effects of climate change. More about Christopher Flavelle

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Israel-Gaza latest: Israel's 'declared aim of wiping Gaza from the map is about to be realised', World Court told

The UN's top court has today opened a hearing calling for emergency measures to halt Israel's onslaught in Rafah - as Israel said it is "wearing Hamas down" there and has sent more troops in.

Thursday 16 May 2024 16:30, UK

• Israel-Hamas war

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• Israel's 'declared aim of wiping Gaza from the map is about to be realised', World Court told  | Israel sends more troops to Rafah
• Five IDF soldiers killed by Israeli 'tank crossfire'
• Floating pier in Gaza completed by US military
• Egypt 'rejects Israeli proposal' to re-open Rafah crossing
• US police take back university building after 'violent' protest
• Scroll down for the latest on the Israel-Gaza war
• Listen to the Daily above and tap here  to follow wherever you get your podcasts

That's all for our live coverage for the moment. 

Our regular updates will continue tomorrow. 

As detailed in our 14.14 post, the UN's top court has today opened a hearing calling for emergency measures to halt Israel's onslaught in Rafah.

As the hearing got under way, judges at the International Court of Justice, also known as the World Court, were told the Palestinian people faced "ongoing annihilation".

South Africa wants the court to impose the emergency measures to protect Rafah, a southern Gaza city where more than a million Palestinians have been sheltering.

It is also asking it to order Israel to allow unimpeded access to Gaza for UN officials, organisations providing humanitarian aid, and journalists and investigators.

It says Israel has so far ignored and violated earlier court orders.

"The key point today is that Israel's declared aim of wiping Gaza from the map is about to be realised," South Africa's legal representative, Vaughan Lowe, told the panel of judges.

"Further, evidence of appalling crimes and atrocities is literally being destroyed and bulldozed, in effect wiping the slate clean for those who've committed these crimes and making a mockery of justice."

Israel, which has denounced South Africa's claim that it is violating the 1949 Genocide Convention as baseless, will respond tomorrow. In previous filings it claimed it had stepped up efforts to get humanitarian aid into Gaza as the ICJ had ordered.

By Alistair Bunkall, Middle East correspondent

When Yoav Gallant recorded a televised statement criticising Israel’s judicial reforms in March 2023, Benjamin Netanyahu sacked him.

A few days later, after massive street protests, the defence minister was reinstated.

Gallant has again taken to the television to criticise Israel's Prime Minister, this time over the lack of a "day-after plan" for Gaza.

He implied that Netanyahu's indecision was harming the country's security and leading to a de-facto military control of Gaza.

The bad-blood between prime minister and defence minister is no secret, but thrusting it into the open in this way was a dramatic move.

That he remains in office, despite calls from the far right to dismiss him, says as much about the weakness of Netanyahu's hold on power as it does about the logic behind Gallant's intervention.

On Wednesday night, around the same time Gallant was holding his press conference, five Israeli soldiers were killed and seven seriously wounded in a friendly-fire incident in Jabaliya, northern Gaza.

Jabaliya was one of the first areas Israeli forces entered, following 7 October. Four months ago they announced they had dismantled Hamas battalions in the refugee camp, and yet they have been forced to return in large numbers, because Hamas has regrouped and remains a threat there.

That's what insurgencies do, but Netanyahu seemingly failed to foresee it. How often, in wars past, have we seen militant forces fade away in the face of a superior army, only to return later, alive to fight another day.

Procrastinating on a plan for civilian rule of Gaza, as Netanyahu has done for months now, has left a vacuum in much of Gaza and so, surprise, surprise, Hamas has returned to areas that Israel had declared clear.

Israeli forces have also returned, this time with experience of the particular battlefield but increasingly frustrated about the political indecision that has brought them back; battle-hardened, but war-weary.

Lacking a clear strategy, and without a vision for the "day-after", Israeli troops risk being dragged into a war lasting years not months. Maybe that is Netanyahu's plan after all, but his call for "total victory" is a fantasy – militant groups and terror organisations have an annoying habit of regenerating.

What is needed is an alternative to Hamas, another option for governing Gaza. That would put pressure on the group and create a political pathway for Arab states, and the West, to coalesce around.

Gallant knows it and so, reportedly, do senior Israeli security figures. Gallant is trying to force Netanyahu to make a decision, something he famously avoids, but with Israeli soldiers still dying in Gaza it soon won’t just be his defence minister publicly turning against him. 

The International Court of Justice (ICJ) has opened a new hearing today in a case brought by South Africa accusing Israel of genocide in the war in Gaza. 

South Africa is demanding the United Nations' top court uses emergency measures to press Israel to halt its military operation in the southern Gaza city of Rafah, where more than half of Gaza's population has sought shelter.

According to the latest request, the last preliminary orders previously issued by The Hague-based court were not sufficient to address "a brutal military attack on the sole remaining refuge for the people of Gaza."

Israel has portrayed Rafah as the last stronghold of the militant group, brushing off warnings from the United States and other allies that any major operation there would be catastrophic for civilians.

South Africa has asked the court to order Israel to withdraw from Rafah; to take measures to ensure unimpeded access for UN officials, humanitarian organisations and journalists to the Gaza Strip; and to report back within one week on how it is meeting these demands.

The country also says Israel must take all the necessary and effective action to ensure basic food supplies for Palestinians in Gaza.

During hearings earlier this year, Israel strongly denied committing genocidein Gaza and claimed it does all it can to spare civilians and is only targeting Hamas militants.

Most of Gaza's population of 2.3 million people have been displaced since fighting began.

The health ministry in Hamas-run Gaza says over 35,000 Palestinians have been killed in the war, without distinguishing between civilians and combatants in its count.

The genocide case was initially brought by South Africa three months into the conflict and says that by killing Palestinians in Gaza, causing them serious mental and bodily harm and creating conditions on life "calculated to bring about their physical destruction", Israel is committing genocide against them.

The hearings this week come after the first round back in January, when the court found it was plausible Israel violated some rights guaranteed to Palestinians in Gaza under the Genocide Convention.

Judges also ordered Israel to take action to improve the humanitarian situation in Gaza.

Israel has said it is "wearing Hamas down" as it confirmed more troops will be sent to Rafah.

"This operation will continue as additional forces will enter [the area]," Defence Minister Yoav Gallant said. 

"Several tunnels in the area have been destroyed by our troops and additional tunnels will be destroyed soon."

He added: "This activity will intensify – Hamas is not an organisation that can reorganise, it does not have reserve troops, it has no supply stocks and no ability to treat the terrorists that we target. 

"The result is that we are wearing Hamas down."

The Israeli military has depicted Rafah - Gaza's southernmost city - as the last Hamas stronghold, brushing off warnings from the US and other allies that any major operation there would be catastrophic for civilians.

Around 600,000 Palestinians have been driven out of the city since the beginning of last week, according to the United Nations. 

Egypt has rejected an Israeli proposal for the two countries to re-open the Rafah crossing and manage its future operation, according to two security sources. 

The plan was presented by the Israeli security service Shin Bet yesterday and included a mechanism for how to manage the crossing after an Israeli withdrawal, the security sources said. 

But Egypt insists the crossing should be managed only by Palestinian authorities.

The Rafah crossing has been pivotal for aid getting into Gaza as well as an exit for medical evacuees. 

It has been shut since 7 May after coming under control of the Israeli military.

Egypt and Israel have since blamed each other for the closure of the border and subsequent blockage of humanitarian relief.

Egypt says Rafah's closure is due solely to the Israeli military operation. But a spokesperson for the Israeli government said that Egypt had rejected a separate request to open the crossing to Gazan civilians who wish to flee.

At least 35,272 Palestinians have been killed in Gaza since the attacks on 7 October, the Hamas-run health ministry has said.

It added that a further 79,205 have been wounded.

It is worth noting that the health ministry does not distinguish between civilians and troops in its data.

It is "almost impossible" to distribute aid within Gaza, the UN's Office for the Coordination of Humanitarian Affairs (OCHA), said.

The OCHA added there are "no regular fuel imports, unstable telecommunication and ongoing fighting", which is impacting more than two million people. 

German authorities have said they have banned a group that they say showed solidarity with "Palestinian resistance in all forms".

The interior ministry in the state of North Rhine-Westphalia accused the Palestine Solidarity Duisburg group of spreading antisemitic narratives and searched four properties in connection to the group.

Herbert Reul, interior minister for the state, said the move "sends the right signal" adding that "in many cases nothing other than hatred for Jews is hidden behind solidarity with Palestine, as in the case of the organisation banned today".

We've been reporting this morning that the US military has successfully anchored a pier to a beach in Gaza, with the aim that it will boost aid getting into the enclave. 

Our Middle East correspondent, Alistair Bunkall  says the operation is not yet up and running, but it has the potential to be "very, very effective". 

"It will be a complicated system allowing, mainly ships, to deliver aid to Gaza," Bunkall says.  

"It will also involve the US military and UN who will deliver it into Gaza itself and the Israeli military who will secure the landing site.

"No US forces went into Gaza this morning, and they are not expected to when the pier is operating, but [the operation] will be able to provide enormous amounts of aid into Gaza.

"The US military think that in the first 48 hours of it operating they will be able to get as much, if not more, aid into Gaza than all the air drops that have taken place so far.

"It could be very, very effective."

Bunkall says there is already one ship of aid that has been waiting to get into Gaza after leaving Cyprus and at least another two ships that are still on route. 

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