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Payment for Hospice Care

Hospice is primarily paid through the Medicare Hospice Benefit for all patients 65 years and over regardless of their Commercial Insurance plan. Medicaid Hospice Benefit, and most private insurances will cover if the patient does not have coverage through Medicare.

Eligibility and Benefits
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HOSPICE ELIGIBILITY

Medicare Part A will pay 100% of a patient's Hospice Care needs.
You are eligible for Medicare hospice benefits when you meet all of the following conditions:
1. You are eligible for Medicare Part A (Hospital Insurance), and
2. Your hospice doctor and your regular doctor (if you have one) certify that you’re terminally ill (with a life expectancy of 6 months or less).
3. You accept comfort care (palliative care) instead of care to cure your illness.
4. You sign a statement choosing hospice care instead of other Medicare-covered treatments for your terminal illness and related conditions.

CARE PLANNING

Depending on your terminal illness and related conditions, your hospice team will create a plan of care that can include any or all of these services:
1. Doctors' services.
2. Nursing and medical services.
3. Durable medical equipment for pain relief and symptom management.
4. Medical supplies, like bandages or catheters.
5. Drugs for pain management.
6. Aide and homemaker services.
7. Physical therapy services.
8. Occupational therapy services.
9. Speech-language pathology services.
10. Social services.
11. Dietary counseling.
12. Spiritual and grief counseling for you and your family.