You can get Medicare Hospice
benefits when you meet all of these conditions:
What Medicare Won’t
When you choose hospice care, you’ve decided that you no longer want care to cure your terminal illness and/or your doctor has determined that efforts to cure your illness aren’t working. Medicare won’t cover any of these once you choose hospice care:
Treatment intended to cure your terminal illness. Talk with your doctor if you’re thinking about getting treatment to cure your illness. As a hospice patient, you always have the right to stop hospice care at any time.
Prescription drugs to cure your illness (rather than for symptom control or pain relief)
Care from any hospice provider that wasn’t set up by the hospice medical team. You must get hospice care from the hospice provider you chose. All care that you get for your terminal illness must be given by or arranged by the hospice team. You can’t get the same type of hospice care from a different provider, unless you change your hospice provider. However, you can still see your regular doctor if you’ve chosen him or her to be the attending medical professional who helps supervise your hospice care.
Room and board. Medicare
doesn’t cover room and board if you get hospice care in your home or
if you live in a nursing home or a hospice inpatient facility.
However, if the hospice team determines that you need short-term
inpatient or respite care services that they arrange, Medicare will
cover your stay in the facility. You may have to pay a small
co-payment for the respite stay.
Hospice is a special way of caring for people who are terminally ill, and for their families. This care includes physical care and counseling. The goal of hospice is to care for you and your family, not to cure your illness. Hospice is a program of care and support for people who are terminally ill.
The Texas Department of Aging and Disability Services (DADS) Regulates and Licenses Texas Hospice programs.
Here are some important facts about Hospice:
Hospice is a program of care and support for people who are terminally ill. Here are some important facts about hospice:
Your doctor and the hospice team will work with you and your family
to set up a plan of care that meets your needs. Your plan of care
includes hospice services that Medicare covers. For more specific
information on a hospice plan of care, call your area hospice
If you qualify for hospice care, you’ll have a specially trained team and support staff available to help you and your family cope with your illness. You and your family members are the most important part of the team. Other people on the team may include:
In addition, a hospice nurse and doctor are on-call 24 hours a day,
7 days a week to give you and your family support and care when you
A hospice doctor is part of your medical team. Your regular doctor or a nurse practitioner can also be part of this team as the attending medical professional to supervise your care. However, only your regular doctor (not a nurse practitioner that you’ve chosen to serve as your attending medical professional) and the hospice medical director can certify that you’re terminally ill and have 6 months or less to live.
The hospice benefit allows you and your family to stay together in the comfort of your home unless you need care in an inpatient facility. If the hospice team determines that you need inpatient care, the hospice team will make the arrangements for your stay.
For example, if Medicare pays $100 per day for inpatient respite
care, you’ll pay $5 per day. The amount you pay for respite care can
change each year.
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