Hospice Coverage and Cost
The Medicare Hospice Benefit includes home care, as well as inpatient care when needed, and additional services that would not typically be covered by Medicare. The patient, the patient’s attending physician and the hospice team will establish a plan of care that will help create positive outcomes and reach desired goals.
Under Medicare, hospice care is available if the following eligibilities requirements are met:
- The patient must be eligible for Medical Hospital Insurance (Part A);
- The patient’s attending physician and the hospice medical director must certify that an individual’s life expectancy is six months or less if the terminal illness runs its normal course;
- Hospice care under Medicare includes home care, as well as inpatient care when needed, and additional services that would not typically be covered by Medicare;
- The patient elects hospice care, rather than standard Medicare benefits for their terminal illness;
- The patient receives the care from a licensed hospice Medicare provider.
Medicare will still pay for covered benefits used during hospice services for health problems that are not associated with the terminal illness. The Medicare Hospice Benefit differs from the Medicare Home Health Benefit, in that it is limited to beneficiaries who are terminally ill. Please view the “Medicare Home Health Benefit vs. Hospice Benefit” information sheet for details about differences in coverage and costs.
We accept payments through:
- Private Insurance