Medicare Faqs

What Are the Coverage Limits for Hospice Care?
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Traditional Medicare covers these hospice services:

•    Doctor services.
•    Nursing care.
•    Medical equipment and supplies.
•    Drugs for pain and symptom relief.
•    Aide and homemaker services.
•    Physical and occupational therapy.
•    Speech-language pathology services.
•    Social worker services.
•    Dietary counseling.
•    Grief and loss counseling.
•    Short-term inpatient care.
•    Short-term respite care (possible co-payment).
•    Other services needed to manage pain and symptoms as determined by hospice providers.

Medicare will cover hospice in 90-day and 60-day periods. A patient may receive hospice care for up to two 90-day periods, followed by unlimited 60-day periods. These benefits periods may occur consecutively or with time between them; regardless of the timing, the patient must be recertified as terminally ill at the onset of each period of treatment. To receive this care, patients must meet the following conditions:
•    They have Part A.
•    The patient’s doctor and the hospice medical director have confirmed that the patient is terminally ill and has six months or less to live.
•    The patient signs a statement choosing hospice care instead of other Medicare-covered services to treat terminal illnesses.
•    The hospice is Medicare-approved.

In terms of costs as of 2013, the patient will pay at most $5 for each prescription drug or pain/symptom control product. The patient will also pay 5 percent of the Medicare-approved amount for inpatient respite care.


Related FAQs

Does Medicare Cover Long-Term Care, Skilled Nursing Facility Care and Nursing Home Care?

What Does Medicare Cover for Beneficiaries With Alzheimer’s Disease and Related Dementia Conditions?

Do Participants Need Both Parts A and B?

READ MORE ABOUT THIS TOPIC: WWW.MEDICARE.GOV; HOSPICENET.ORG
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