Cost Factors Associated With Hospice Care



Who pays for hospice?

There are many forms of hospice care payors, these are the most common of them:

• Medicare

• Medicaid

• Veteran’s Benefits

• Health Insurance

Will Medicare cover hospice care?

Yes.

• You pay nothing for hospice care.

• You may need to pay 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. In the rare case your drug isn’t covered by the hospice benefit, your hospice provider should contact your Medicare drug plan to see if it's covered under Part D.

• You may need to pay 5% of the Medicare-approved amount for inpatient respite care.

• Medicare doesn't cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).

Will Medicaid cover hospice care?

Yes,

Medicaid will cover the costs of your loved one's room and board if your loved one is a resident of a long-term care facility or other qualifying assisted living facility. This coverage is unique to Medicaid and is not offered within the Medicare hospice benefit program.

Will VA Benefits cover hospice care?

Yes,

Since Hospice Care is part of the VHA Standard Medical Benefits Package, all enrolled Veterans are eligible IF they meet the clinical need for the service. There are NO COPAYS for Hospice Care, whether it is provided by the VA or an organization with a VA contract.

Will Insurance cover hospice care?

Depending on your insurance plan, it could cover Hospice Care. Check with your insurance company to see if your plan will cover hospice care, and which companies in your local area are in network with your insurance plan.

If a patient doesn't have insurance, can they still receive hospice care?

Yes, in some situations you can still receive hospice care if you have medicare, Medicaid, or VA benefits. If you do not have any of these, there are also local grants that can assist with payment.

Who pays for hospice room + board?

If your loved one is living in a long term care facility, and they have LTC Medicaid coverage – Medicaid will pay for Hospice Care and room + board.

How much is a hospice consultation?

A hospice consultation is always free with Divinity Hospice.


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