Home Health RNs: mileage reimbursement?

Specialties Home Health

Published

How many of you home health RNs get reimbursement for your mileage? I was offered a position but they have not told me anything about salary yet (apparently don't have it worked out?) and when I asked about mileage reimbursement they said it is "not usually reimbursed." Is this the norm??

merlee

1,246 Posts

No, no, no. You want mileage reimbursement for sure. Every penny. Preferably in a separate check. Nonsense.

Specializes in CCM, PHN.

BEWARE HH agencies that do not reimburse at the Federal rate. Or reimburse ANY mileage. They usually turn out to be Medicare scamming operations that you will NOT want on your résumé. Tread carefully in the wild world of HH agencies!

L8RRN

188 Posts

I work for the state and get a salary and 42 cents per mile. I put about 500 to 800 miles on my car per month and cover one county of the state (and SOMETIMES go to another county to cover a visit or two if needed).

paradiseboundRN

358 Posts

Specializes in Home Health, MS, Oncology, Case Manageme.

49-50 cents per mile is what you should get right now. And it should be evaluated every 6 months with the gas prices. Do not take a home care job without mileage reimbursement. That money really adds up and its wear and tear on your car plus gas!

I<3H2O, BSN, RN

300 Posts

Specializes in Home Health.

We are reimbursed $0.49/mile. So far this year I have put about 8k miles on my car. That reimbursement can be substantial! The federal rate just recently went up to $0.55.

Specializes in Hemodialysis.

I shouldn't be giggling at this but I am. You'll get it in a second. You HAVE to be reimbursed mileage, and run run run if you don't. I actually bought a car to use for work (used...4w drive) because I didn't want to run up the mileage on my family car. We get reimbursed $0.45 per mile. Of course I do use my car for personal use too, but just some local driving (kids to school, store, whatever) but in the 10 months I've had this car, I've put...drumroll...30,000 miles on it! You must get mileage in a job like this.

iridium54

132 Posts

Thank you all for your comments. The results are clear...no reimbursement is unacceptable!

Dafabb, LPN

123 Posts

Specializes in Med/Surg/.

You also have one other option. Negotiate your salary with 1/200.00 more than offered to cover monthly expenses. I was doing home heath for the 5/9 yrs here in Dallas. I am an "agency nurse,travel nurse" as uncle sam knows of. Even if you are employed with a HH company you can still do "traveling nurse" I keep a record of my milage on calendar and take all 10-14,000 miles off at the end of the yr. This will considerably drop you net for less taxes. I have done this since 1995. Maybe this is another option as many do not pay for mileage.

Dafabb, LPN

123 Posts

Specializes in Med/Surg/.

LOL yes on this I agree get milage up front!!!!..when I was doing full time HH I put 12-16,000 a/yr on mine and just take ALL of it off at the end of the yr.

NPenn3080

1 Post

Yes, you need milage pay. I work for a HHC and my milage is included on my check. You should also find out what area they want you to cover and get it in writting. Otherwise they may have you driving an hour between patients. Also ask if they have a point system and if you get paid if your over your weekly point quota. For example, I have to get 32 points a week. 2.5 points for a start of care and 1 point per skilled nurse visit... you may also get additional points for milage.

paradiseboundRN

358 Posts

Specializes in Home Health, MS, Oncology, Case Manageme.

Depending on your tax bracket you may NOT be able to claim the mileage at the end of the year. My husband makes a lot more money than I do and in order to claim the mileage deduction the amount has to be a certain percentage of our income. In the first 5 years I was in home care (when I wasn't getting paid mileage), I wasn't able to claim it. Get the mileage upfront!

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