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Paying for Palliative and Hospice Care

Medicare Hospice Benefit

Medicare’s “Hospice Benefit” pays for hospice care for people who are terminally ill and have a life expectancy of six months or less, if the illness runs its normal course.

Coverage for Hospice Care

The Medicare Hospice Benefit is an inclusive benefit, in which all services that are related to the terminal illness are completely covered by Medicare part A.
Medicare Hospice Care Coverage Includes:
  • Nurse visits
  • Physician visits
  • Other healthcare professional visits
  • Therapy
  • Medication
  • Supplies
  • Social Work
  • Spiritual Care
  • Bereavement support
  • * Arts services
  • Supplies
  • Social Work
  • Spiritual Care
  • Bereavement support
  • * Arts services

* Connecticut Hospice covers all costs of Arts services, which are not reimbursed to us by Medicare.

You must still pay your regular Medicare Part A and B premiums, and any other care that is unrelated to the terminal illness will continue to be covered.

Hospice Eligibility

At this time, patients must meet two important conditions to be deemed eligible for the Hospice Benefit by Medicare:

01.
A Hospice doctor and the patient’s attending physician (if any) must certify that the patient is terminally ill with an expected prognosis of less than 6 months.
02.

The patient has elected to cease curative treatment and chosen to focus only on comfort and quality of life.

As a Medicare-certified hospice, Connecticut Hospice and its programs qualify for Medicare Hospice Benefit.

Doctor speaking with male Palliative Care patient in a hospital bed at The Connecticut Hospice

Coverage for Palliative Care

Patients in our Stand By Me (SBM) home care program are eligible for home palliative care services, including physician or nurse practitioner consultation in the home to assist with symptom management and decision making in serious illness.

Medicare coverage for palliative home care is available under certain conditions, where skilled care is needed for patients who are homebound, as certified by their physician.   

Regular Medicare covers inpatient palliative care for symptom management for our SBM patients. At this time, those with a Managed Medicare policy are excluded from palliative care admission to our Branford Inpatient facility.

Palliative Care

Coverage for Respite Care

Respite care is only available for Hospice patients for short-term (5 days or less) inpatient stay.  Medicare and Medicaid Hospice cover Respite Care.  Patients should check with their private insurance to see if this benefit is covered.  

Learn more about Respite Care eligibility requirements.

Respite Care
Daughter bringing her elederly mother in for temporary respite care at The Connecticut Hospice

Contact Your Insurance Representative

In addition to Medicare and Medicaid, many insurance companies cover palliative and hospice care. Each patient situation is different, so we recommend you contact your insurance company, or a Medicare/Medicaid representative to determine your coverage and to find out about any possible copays or deductibles.

Contact Admissions

Admissions may be scheduled seven days a week.
Call our Centralized Intake Department: (203) 315-7540.

Admissions
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