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Who Pays for Hospice?

Who Pays for Hospice?

What Insurance is Accepted?

  • Medicare
  • Medicaid
  • Private Insurance
  • Government: VA/Tricare
  • Self-pay

You will not be denied services regardless of your payor source.

Medicare Hospice Benefit: What is Covered?

Medicare Hospice Benefit will pay 100% of Hospice Services related to terminal and related illnesses. Services include:

  • Nurse and Aide Visits
  • Social support through Medical Social Worker and Chaplain
  • Bereavement Support
  • Medical Equipment
  • Approved Medications
  • Routine Home Care
  • Respite Care
  • Inpatient Care
  • Continuous Care

Care that is for unrelated illnesses will continue to be covered by Medicare. These items can include but are not limited to:

  • Eye Care
  • Podiatry
  • Dental Services

What is Not Covered?

  • Curative Treatment, such as blood testing, diagnostics, curative medications, provider visits, blood transfusions, and IV hydration
  • Emergency Room visits, transportation, or provider visits not approved by Hospice Care Team
  • Room and Board if patient requires services with an extended care facility or assisted living
  • Private-pay caregiving

How Long Will Medicare Pay for Hospice?

To be eligible for hospice, a person must receive a diagnosis of a terminal illness from a provider with a life expectancy of 6 months or less - if the illness were to follow its normal course.

Occasionally, a person will live beyond this 6-month period. If the Hospice Medical Director determines that the person is no longer terminally ill, the hospice team must discharge the person from their care with appropriate follow up care. If the person remines terminal ill, they can be recertified for hospice. The Medicare Hospice Benefit covers an unlimited number of 60-day recertifications if the person remains hospice eligible.

For more information, please call Reid Health Hospice at (765) 983-3344.