How to Change or Transfer Hospice Care Providers

Choose the best hospice care

If you are unhappy with the hospice you or a family member are receiving, you may change providers once during each benefit period.

Medicare hospice starts with two 90-day benefit periods, followed by an unlimited number of 60-day benefit periods. You can change providers once during those first two 90-day periods or once during any of the following 60-day periods.

Transferring to a new hospice agency

  • Create a signed document that includes the name of your current hospice, the name of the new hospice and the agreed upon date of transfer. The document may be simple and direct.
  • Give copies of the document to your current and new hospice.
  • Your doctor will be notified about the transfer

When transferring hospice providers, you will continue along the same benefit periods timeline. The receiving hospice must complete all assessments required by the hospice conditions of participation.

If you're in a Medicare Advantage Plan for hospice care (like an HMO or PPO) and want to transfer to a new hospice, ask your plan to help find a Medicare-approved provider in your area.

It is your choice to start or stop hospice care. Once you begin hospice, you can decide to stop hospice services at any time if you change your mind or decide to seek treatments to cure a life-limiting illness.

Ending hospice care

The decision to end Medicare-covered hospice care is called a hospice revocation. To revoke the election of hospice care, you must give a signed written statement of revocation to your hospice provider. There are no standardized hospice revocation documents or forms. Work with the hospice so they understand your wishes and schedules.

The Hospice revocation statement

  • The statement must include the date of the revocation.
  • A verbal revocation of benefits is not acceptable.
  • You may not designate a revocation effective date earlier than the date the revocation is made.
  • The day of revocation is billable by the hospice.
  • Your hospice provider cannot revoke your hospice election choice or demand that you end the hospice benefit.