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Medical ExpenseSeen in 31 questions

Hospice Care

Comprehensive comfort care for the terminally ill (life expectancy of about 6 months) and their families, a Medicare Part A benefit and covered LTC-related service.

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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

For a Medicare beneficiary with a terminal illness, hospice care under Medicare Part A:

Is covered for palliative and supportive care, including pain management and related services, when a physician certifies the beneficiary is terminally ill — Medicare Part A covers hospice care for beneficiaries who have a terminal illness, defined as a life expectancy of six months or less, as certified by a physician. Hospice benefits focus on palliative and supportive care — pain management, symptom control, and supportive services — rather than curative treatment. The beneficiary may receive hospice care at home or in a hospice facility. Hospice is a standard Part A benefit available under Original Medicare without any Medicare Advantage enrollment or hospital-stay prerequisite.

National insurance concept

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