How is Hospice Reimbursed?
At Golden Rule Hospice, we ensure that no terminally ill patient is excluded from participation in or denied benefits of any hospice care because of an inability to pay for hospice care.
Hospice care is paid for by Medicare, Medicaid, the Department of Veterans Affairs, and most private insurance plans, HMOs, and other managed care organizations. Medicare will cover the hospice care you get for your terminal illness and related conditions, but the care you get must be from a Medicare-approved hospice program.
A Medicare Advantage Plan, like an HMO or PPO, is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) benefits.
Original Medicare covers all Medicare-covered services you get while in hospice care, even if you were previously in a Medicare Advantage Plan or other Medicare health plan. Once you choose hospice care, your hospice benefit should cover everything you need.
Original Medicare will still pay for covered benefits for any health problems that aren’t part of your terminal illness and related conditions. You can choose to get Medicare covered services that aren’t part of your hospice care through your Medicare Advantage Plan or through Original Medicare. If your plan covers extra services that aren’t covered by Original Medicare (like dental and vision benefits), your plan will continue to cover these extra services as long as you continue to pay your premium.