top of page

How does Medicare Hospice work?

Updated: Jun 4, 2021




How does Medicare Hospice work? Even if you are enrolled in a Medicare Advantage plan, hospice care is always covered under Original Medicare and will follow Original Medicare’s cost and coverage rules. To qualify for hospice care, a hospice doctor and your doctor (if you have one) must certify that you’re terminally ill, meaning you have a life expectancy of 6 months or less. When you agree to hospice care, you’re agreeing to comfort care (palliative care) instead of care to cure your illness. You also must sign a statement choosing hospice care instead of other Medicare-covered treatments for your terminal illness and related conditions. Coverage includes the following: All items and services needed for pain relief and symptom management Medical, nursing, and social services Drugs for pain management Durable medical equipment for pain relief and symptom management Aide and homemaker services Other covered services you need to manage your pain and other symptoms, as well as spiritual and grief counseling for you and your family. Medicare-certified hospice care is usually given in your home or other facilities where you live, like a nursing home. You will pay nothing for hospice care but may have a copayment of no more than $5 for each prescription drug and other similar products for pain relief and symptom control while you're at home. If you receive inpatient respite care, you may need to pay 5% of the Medicare-approved amount. In home room and board is no...

1 view0 comments

Comments


bottom of page