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Long Term CareSeen in 7 questions

Hospice Benefit (LTC)

Coverage for terminally-ill comfort care at home or in facilities, coordinating with Medicare hospice without duplication.

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Hospice care for a Medicare beneficiary with a terminal illness is covered under:

Medicare Part A — Medicare covers hospice care under Part A for beneficiaries with a terminal illness — certified as having a life expectancy of six months or less — who elect the hospice benefit. The benefit provides palliative and supportive care focused on comfort rather than cure: nursing services, medical social services, counseling, hospice aides, and pain management, with very low cost-sharing and little or no copayment for most services. Hospice is one of the Part A benefits enumerated in the senior health products objectives alongside inpatient care, home health, and skilled nursing facility care.

National insurance concept

Hospice care for a terminally ill Medicare beneficiary is covered primarily under:

Medicare Part A — Hospice care is a Medicare Part A benefit designed for terminally ill beneficiaries who choose comfort care rather than curative treatment. To qualify, a Medicare doctor must certify the beneficiary has a terminal illness with a life expectancy of six months or less, and the beneficiary must elect hospice care. Part A covers hospice services, including nursing, pain medication, and supportive care, with limited cost sharing. Part D, Medigap, and the catastrophic phase relate to prescription drug coverage and cost-sharing, not to the hospice benefit itself.

National insurance concept

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