Paying for Hospice Care
Original Medicare covers the cost of everything a hospice patient needs related to their terminal illness, even if they're enrolled in Medicare Advantage or have a Medigap policy.
Hospice is a generous Medicare benefit you have earned
Hospice is a generous Medicare benefit you have earned
Hospice is covered by Medicare Part A, Veterans Affairs benefits, Medicaid and most private insurance policies. These benefits offer patients the opportunity for a dignified, comfortable, and peaceful end of life without an overwhelming financial burden.
Hospice is always covered by Medicare Part A, even for someone with a Medicare Advantage plan or Medigap. After electing hospice, all care related to a terminal illness follows Original Medicare’s cost and coverage rules. Patients then have the option to keep their Advantage plan or use Original Medicare (Part A and Part B) to cover other health care services. Learn more about hospice with Medicare Advantage.
Medicare typically covers 100 percent of expenses, if these requirements are met.
- Your doctor and a medical director from a hospice program certify the patient has six months or less to live, if the illness runs its normal course.
- The patient signs a statement choosing hospice instead of curative treatments for their terminal illness. You can stop hospice and return to curative treatment at any time.
- The patient receives care from Medicare-approved hospice program.
Visit the hospice information page on Medicare.gov.
Medicare has a mobile app called, What’s covered, to help you understand Medicare coverage and payments for hospice. Find the What's Covered app in Google Play or the Apple App store.
- Hospice benefits for veterans (PDF, 210 KB)
- Hospice care in a nursing home
Compassus is fully Medicare approved in every state we serve.
Hospice services for patients and their families
- Doctor and on-call nursing care
- Medical equipment and personal supplies
- Expert pain management, including pain medications
- Medical social services
- Spiritual care and support
- Dietary counseling
- Hospice aide and homemaker services
- Physical, occupational, dietary and speech therapies
- Support from volunteers
- Music, pet or massage therapies as appropriate. Call our local locations to see if services are available near you.
- Short-term inpatient respite care (relief) for caregivers
- Grief counseling for patient, family and friends
What about Medicare coverage for other services?
You still get Medicare coverage for treatment of illnesses or injuries unrelated to your terminal illness. For example, Medicare would continue to cover diabetes care and medications. However, the costs you usually pay for services will apply. If you decide to keep your Medicare Advantage plan, that plan will be responsible for other costs.
How long can someone receive hospice care using Medicare?
The hospice benefit includes two 90-day benefit periods followed by an unlimited number of 60-day benefit periods. Hospice patients receive care as long as the doctor and the hospice medical director certify that the patient is terminally ill.
If the patient lives longer than six months, hospice care is still available, as long as the hospice medical director or another hospice doctor re-certifies the terminal illness. Hospice eligibility
Room and board costs at a nursing home, hospital or other facility are not covered by the Medicare hospice benefit?
Hospice care services are covered wherever you call home, but Medicare does not pay anything toward room and board expenses. The exception is short-term inpatient or respite care.
Prescription drug costs
Medications prescribed for pain and symptom management may require a co-payment of $5 or less. Call one of our local offices for details about any potential costs to you.
How is the Medicare hospice benefit payed?
The patient will not receive a bill for the services covered under the Medicare Hospice Benefit. Medicare pays the hospice directly.
Contact one of our local hospice locations for details about coverage and hospice care.