Hospice Coverage and Cost
If you receive Medicare or Medicaid benefits, you are eligible for the following types of care:
- Routine Home Care
This includes intermittent nursing, home health aide, social worker, clergy, and volunteer home visits. A nurse is on call 24 hours a day.
- Respite Care
The hospice patient may be admitted to Maltz Hospice House, Montefiore or one of the facilities in our extended network, for up to five days so the primary caregiver can take a break.
- Continuous Care
Primarily nursing care to manage acute symptoms during a crisis. Typically, the care is provided 8 to 24 hours per day at the patient’s residence.
- Short-Term Inpatient Care
At the Maltz Hospice House, this care is provided when necessary for pain management or to manage acute or chronic symptoms that cannot be cared for in the home.
Hospice Services Covered by Medicaid and Medicare
Medicare, Medicaid, and most insurance companies cover 100% of the cost of hospice care. These will provide the following:
- Medications related to your primary diagnosis. Medications unrelated to the primary diagnosis are not covered
- Durable medical equipment related to the terminal illness (hospital bed, wheelchair, walker, etc.)
- Oxygen and respiratory equipment for symptom control
- Ambulance transportation when arranged by the hospice nurse
- Home visits by the hospice team. The frequency of visits is determined by the patient, family, and hospice team
- Any treatment reasonable and necessary for pain management and symptom control
- Bereavement services
Services Not Covered Under Hospice
- Extended, around-the-clock or custodial care is the responsibility of the patient or family to arrange for care in the home when it is necessary.
- The cost of routine room & board at Maltz Hospice House, Montefiore or another inpatient facility
- Diagnostic testing, emergency room visits or aggressive lifesaving measures related to the primary hospice diagnosis.
Costs and Insurance
A hospice staff member will explain Medicare’s and Medicaid’s hospice benefits to you. Most private insurance covers hospice care. We will bill them directly.
A hospice staff member can help provide information about insurance reimbursement and application procedures for financial assistance