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How to Choose a Hospice Provider

Use this checklist to compare hospices with confidence. Call 1-800-MEDIGAP for personal guidance.

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Quick answer

To choose a hospice provider, confirm it's Medicare-certified, check its quality ratings on Medicare's Care Compare, ask about staffing and after-hours coverage, and verify the services and care levels it offers. You have the right to choose any Medicare-certified hospice and switch once per benefit period.

Not all hospices are alike. A few key questions help your family choose a provider you can trust.

What to look for in a hospice provider

Start by confirming the hospice is Medicare-certified, which ensures it meets federal quality and safety standards and qualifies for full coverage. Then check its star ratings and family-survey scores on Medicare's Care Compare tool. Ask how quickly the team responds after hours and on weekends, whether a nurse is available 24/7, and what disciplines are on staff (nurses, aides, social workers, chaplains, volunteers). Find out which of the four levels of care the hospice provides and where, and ask about its experience with your specific illness. A nonprofit versus for-profit status and length of time in your community can also signal stability.

Questions to ask before you enroll

Before signing, ask: How fast can you start care? Is a physician involved in my care plan? How do you handle pain and symptom emergencies at night? What inpatient or respite facilities do you partner with? Will I keep my own doctor? What bereavement support do you offer my family afterward? Also confirm there are no surprise charges beyond Medicare's small drug and respite costs. Trust your instincts during these conversations. If a hospice is evasive or slow to answer, keep looking. For help comparing options and understanding how your Medicare and Medigap coverage applies, call 1-800-MEDIGAP.

More on Hospice & Palliative Care

Frequently asked questions

How do I find a good hospice provider?+

Confirm Medicare certification, then compare providers on Medicare's Care Compare for quality and family-satisfaction ratings. Ask about 24/7 nurse availability, staffing, care levels offered, and experience with your illness. Referrals from your doctor and your community also help identify trusted hospices.

Can I choose any hospice I want?+

Yes. You have the right to choose any Medicare-certified hospice provider, regardless of your doctor's affiliations. You can also switch hospices once during each benefit period if you're unhappy with your care, without losing your Medicare hospice benefit.

What's the difference between nonprofit and for-profit hospice?+

Both can deliver excellent care, but they differ in structure. Nonprofit hospices often have deep community roots and may offer more charity care, while for-profit hospices may have more resources. Focus on quality ratings, staffing, and responsiveness rather than tax status alone.

Where can I check hospice quality ratings?+

Use Medicare's Care Compare tool at Medicare.gov, which publishes hospice quality measures and family-experience survey scores. These ratings reflect how well a hospice manages pain, communicates, and supports families, helping you make an informed choice.

Can I switch hospice providers if I'm unhappy?+

Yes. Medicare allows you to change hospice providers once during each benefit period without penalty or losing coverage. If your current hospice isn't meeting your needs, you can transfer to another Medicare-certified provider. Call 1-800-MEDIGAP if you need help.

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How to Choose a Hospice Provider | 1-800-MEDIGAP