Hospice Medical Benefit

Who’s eligible for the hospice benefit?

  • You must have Medicare Part A (Hospital Insurance) AND meet all of these conditions 

  • Your hospice doctor and your regular doctor (if you have one) certify that you’re terminally ill (you’re expected to live 6 months or less). 

  • You accept palliative care (for comfort) instead of care to cure your illness. 

  • You sign a statement choosing hospice care instead of other Medicare-covered treatments for your terminal illness and related conditions. 

Note: Only your hospice doctor and your regular doctor (if you have one) can certify that you’re terminally ill and have 6 months or less to live.

Blood Pressure Exam

What Medicare covers 

  • Once your hospice benefit starts, Original Medicare will cover everything you need related to your terminal illness, but the care you get must be from a Medicare-approved hospice provider. 

  • Hospice care is provided in your home, assisted living facility, skilled nursing facility, as well as other locations, and available 24/7 for your questions and needs

The four Core services provided by hospice include: 

  • Doctor services 

  • Nursing care 

  • Social Services

  • Counseling Services, to include: spiritual care, nutritional, physical & occupational therapy assessment, occupational therapy assessment, speech-language therapy assessment

 

Also provided by the Medicare Hospice benefit:

  • Medical equipment (like wheelchairs or walkers) 

  • Medical supplies (like bandages and catheters)

  • Prescription drugs 

  • Hospice aide and homemaker services 

  • Grief and loss counseling for you and your family 

  • Short-term inpatient care (for pain and symptom management) 

  • Short-term respite care 

  • Any other Medicare-covered services needed to manage your terminal illness and related conditions, as recommended by your hospice team

Patient Room

Durable Medical Equipment (DME) and Supplies

Your Medicare Hospice Benefit covers all of the medical equipment and supplies you need as determined by your hospice primary diagnosis and your comfort needs, at no cost to you. The nurse will report to the Hospice Medical Director and/or attending physician, any DME you may need, receive the order, and the DME will then be delivered to your place of residence.

Examples of Durable Medical Equipment (DME):

 

  • Hospital bed

  • Over the bed rolling tray/table

  • Bedside Commode

  • Toilet seat riser

  • Oxygen Concentrator

  • Wheelchairs

  • Walkers

  • Safety Floor Mats

  • And more!

 

Examples of Supplies:

  • Pull-ups (all sizes, M & F)

  • Adult diapers (all sizes, M&F)

  • Under pads for bed protection

  • Protective creams for incontinence skin protection

  • Personal care needs: soap, shampoo, rinse, lotion

  • And more!