How is Hospice paid?
Hospice care is covered under Medicare
Part A (hospital insurance).
Eligibility requirements that must
be met for the hospice Medicare benefit:
You are eligible for Medicare part
A (hospital insurance)
Your primary care provider and the
hospice medical director certify that you are terminally ill and have less
than six months to live if your disease runs its typical course.
You choose the Medicare Hospice Benefit
instead of routine Medicare covered benefits for your terminal illness.
Medicare will continue to pay for
other covered benefits that are not related to your terminal illness
During the hospice course, a
persons condition may improve, they may change their mind and decide
to pursue curative treatment, or they may choose to leave hospice for other
reasons. If this occurs, he or she may revoke the hospice benefit, and their
traditional Medicare benefits will restart. If, at some point, that person
wishes to return to hospice care, this is allowed as long as Medicare eligibility
requirements are met.
Each private insurance plan has
its own particular degree of benefits/coverage for hospice services. If a
patient has a private insurance plan, Hospice will bill the insurance directly.
Any co-pay, deductible and payment for non-covered services will be billed
to the patient or the patient's estate by the hospice.