HospiceCare Payment

 

Payment for Transitions HospiceCare

Hospice services are covered by a variety of reimbursement sources, including:

  • Medicare
  • Medicaid
  • CHAMPUS
  • Most private insurers
  • HMOs

For patients without reimbursement or less than 100 percent reimbursement coverage, a sliding fee scale is available. Everyone deserves the quality of life he or she wants near life’s end. No eligible patient and their family is ever denied the care they request due to lack of insurance coverage or an inability to pay.

How is hospice coverage from Medicare and Medicaid structured?

  • There are two benefit periods of 90 days followed by an unlimited number of 60-day periods
  • At the end of each period, the patient is re-evaluated by a physician to certify that his or her condition still meets the eligibility requirements of hospice care
  • When a patient elects the Hospice Medicare or Medicaid benefit, he or she waives the right to standard Medicare or Medicaid benefits for curative treatment of the terminal illness and related conditions; however, full Medicare and Medicaid coverage remains in effect for treatment of illnesses or conditions unrelated to the terminal diagnosis
  • A patient can stop hospice care and revoke use of the hospice benefit at any time
 
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