While the Medicare hospice benefit is very comprehensive, it does not always cover 100% of costs. Medicare covers the majority of hospice services in full across four levels of care; however, there are specific out-of-pocket costs you should be aware of:
- Palliative Drugs: There is a limited coinsurance required for outpatient drugs used for pain and symptom management. This copayment is capped at five dollars per prescription.
- Respite Care: You may be responsible for a small coinsurance payment if your loved one receives inpatient respite care.
At Amara Hospice Care, we are here to help you navigate these details. During our free, no-obligation assessment, we can help verify your specific insurance coverage and explain how Medicare or other insurance documentation requirements apply to your situation.
Please keep in mind that Medicare/insurance eligibility and documentation requirements may apply, and eligibility for hospice must be determined by a physician through a formal certification process. Because every family’s needs are unique, care is individualized and we recommend consulting with a healthcare professional for specific clinical and financial decisions.
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