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How Does Medicare Handle Hospice Care?

Medicare provides comprehensive coverage for hospice care under its Part A plan. This benefit is specifically designed for patients diagnosed with a terminal illness, where life expectancy is typically six months or less if the illness runs its normal course.

Eligibility

To qualify for hospice care under Medicare, patients must meet several criteria:

  • They must be enrolled in Medicare Part A.
  • A licensed physician must certify that the patient is terminally ill.
  • The patient must choose hospice care instead of curative treatments.

Covered Services

Medicare covers a range of services under hospice care, including:

  • Doctor services and nursing care.
  • Pain relief and symptom management.
  • Homemaker and respite care.
  • Medical equipment and supplies.
  • Drugs for symptom control and pain relief.

Cost Responsibilities

Patients typically pay a small copayment for outpatient drugs and durable medical equipment. There's no cost for routine home care under hospice services, making this care financially accessible. However, patients need to ensure they meet all eligibility requirements to avoid unexpected expenses.

Overall, Medicare's hospice benefit aims to enhance the quality of life for patients in their final stages, ensuring they receive compassionate and comprehensive care.

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