If you or a loved one is facing a terminal illness, Medicare's hospice benefit is designed to remove the financial burden of comfort care.
What hospice services does Medicare cover?
Medicare covers a complete package of hospice services tied to your terminal illness: physician and nursing care, hospice aides, medical equipment and supplies, prescription drugs for pain and symptoms, physical and occupational therapy, social work, dietary counseling, short-term inpatient and respite care, and bereavement support for your family. A coordinated hospice team delivers this care wherever you live, whether that's home, a nursing facility, or an assisted living community. You pay nothing for these covered services under original Medicare, with the only exceptions being up to $5 per outpatient drug for symptom control and 5% coinsurance for inpatient respite care.
What does Medicare hospice NOT cover?
Medicare's hospice benefit does not pay for treatment intended to cure your terminal illness, since hospice focuses on comfort. It also doesn't cover room and board if you live in a nursing home or assisted living facility, prescription drugs unrelated to your terminal condition through the hospice benefit, or care from a hospice provider you arranged without your team's coordination. Care for health issues unrelated to your terminal illness is still covered by your regular Medicare. A Medigap plan can help with those separate costs, call 1-800-MEDIGAP to learn how.
How do Medigap and hospice work together?
Original Medicare covers the bulk of hospice care, but all standardized Medigap plans cover the Part A hospice coinsurance, including those small prescription and respite charges. Just as important, your Medigap policy continues to help with deductibles and coinsurance for care unrelated to your terminal illness, like an injury or a separate chronic condition. This keeps your overall out-of-pocket costs predictable during an already difficult time. To see how your specific Medigap plan coordinates with the hospice benefit, call 1-800-MEDIGAP and speak with a licensed specialist.
