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Insurance Coverage for Hospice Care

Hospice care is a benefit of the Medicare program and is also covered by Medicaid.
 
Most private insurance companies, HMO’s and managed care plans also offer hospice care as a benefit.

Please do not hesitate to contact us if you have questions regarding coverage. Our staff is happy to assist in determining eligibility for the hospice benefit.

For Medicare hospice coverage, patients must:

  • Be eligible for Medicare Part A

- Consent to hospice care and agree that he or she wishes to receive “palliative, not curative care”

- Be certified by his or her physician and the hospice medical director as having a “medical prognosis that his or her life expectancy is six months or less, if the illness runs its normal course”

- Continue to have a six-months-or-less prognosis, although some individual patients may receive hospice services for longer than six months as long as they continue to have a limited life expectancy throughout that time

  • Medicare covers the following hospice services for your terminal illness and related conditions:
  • Doctor services
  • Nursing care
  • Medical equipment (such as wheelchairs or walkers)
  • Medical supplies (such as bandages and catheters)
  • Drugs for symptom control or pain relief (may need to pay a small  copayment)
  • Hospice aide and homemaker services
  • Physical and occupational therapy
  • Speech-language pathology services
  • Social worker services
  • Dietary counseling
  • Grief and loss counseling for you and your family
  • Short-term inpatient care (for pain and symptom management)
  • Short-term respite care
  • Any other Medicare-covered services needed to manage your pain  and other symptoms, as recommended by your hospice team

Are you caring for someone who may benefit from our services?

Click here to make a referral

Click here to see our Circle of Care

Click here to see Medicare Hospice Benefits Infomation Booklet

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