|SERVICE/SUPPORT TYPE||Home Health Services|
|COST||Ask the home health agency how much Medicare will pay and what services it will provide that aren’t covered by Medicare that you will owe|
|APPLICATION||See your doctor. Per Medicare.gov, “Usually, a home health care agency coordinates the services your doctor orders for you.” https://www.medicare.gov/coverage/home-health-services|
|ADDITIONAL INFO||*Read carefully what Medicare does and does not pay for.|
|SERVICE/SUPPORT TYPE||Home Health Services & Home and Community-Based Services, also known by other names, benefits of Medicaid program|
|AGENCY||Centers for Medicare and Medicaid Services (CMS)|
|COST||Depends, with or without a monthly Medicaid Share of Cost|
|ELIGIBILITY SUMMARY||Per Senior Living, (Does Medicaid Cover Home Health Care) “Services are often listed under “Home and Community-based Services,” or “health home.” https://www.seniorliving.org/home-care/medicare-medicaid/|
|APPLICATION||Speak with your licensed medical provider about home health care needs to determine services and support available, and see your state’s Medicaid website for more information about what’s available in your state/region. https://www.medicaid.gov/state-overviews/index.html|
|ADDITIONAL INFO||*Read carefully what Medicaid does and does not pay for Senior Living discusses home health care for Medicaid recipients https://www.seniorliving.org/home-care/medicare-medicaid/ *See also Home and Community-Based Services *See also Long-Term Services and Supports (LTSS) https://www.medicaid.gov/medicaid/long-term-services-supports/index.html |
See also Institutional Long-Term Care https://www.medicaid.gov/medicaid/long-term-services-supports/institutional-long-term-care/index.html
|AGENCY||Medicare – Medicaid – VA – HMO – Other private health insurance plans|
|COST||See Your Costs in Original Medicare https://www.medicare.gov/coverage/hospice-care|
|ELIGIBILITY SUMMARY||Hospice is a type of care that is used once curative treatments are declined or one voluntarily stops eating or drinking, and one has six months or less to live, as determined by a doctor. People may have hospice at home, in-patient hospice facilities, and long-term care facilities, such as skilled nursing facilities. Generally, program referrals are made by one’s licensed medical provider.|
|APPLICATION||See Hospice Care information in the Additional Info section for information about how to apply with your particular insurance|
|ADDITIONAL INFO||Learning about Hospice |
Medicare Benefit Policy Manual
Who Pays for Hospice? Hospice expenses are covered by Medicare, Medicaid, HMOs, the Veterans Administration, and many private insurers.
Medicare: If one has Medicare Part A (Hospital Insurance) and meets all of the conditions: https://www.medicare.gov/coverage/hospice-care
Locate a Hospice agency by name or location
Hospice is a type of care that is used once curative treatments are declined or one voluntarily stops eating or drinking, and one has six months or less to live, as determined by a doctor. People may have hospice at home, in-patient hospice facilities, and long-term care facilities, such as skilled nursing facilities. Hospice expenses are covered by Medicare, Medicaid, HMOs, the Veterans Administration, and many private insurers.
ACL and AoA Hospice Care Fact Sheet
Medicare Hospice Benefits
Hospice Foundation of America
National Hospice and Palliative Care Organization
Caring Connections (A Program of the National Hospice and Palliative Care Organization)
According to Deathwithdignity.org, “palliative care refers to the treatment of the symptoms and stress of serious illness, with the dual goals of comfort and improved quality of life. It provides relief from distressing symptoms including pain, shortness of breath, nausea, insomnia, and side effects of medications. Although people often confuse the terms hospice and palliative care, in the latter you can receive curative medical treatments. People usually receive palliative care at clinics or hospitals, but home care may be possible.”
- Caring Connections is a program of the National Hospice and Palliative Care Organization, providing free resources and other information for actively learning about end-of-life care and options.
- The American Academy of Hospice and Palliative Medicine and the Center to Advance Palliative Care provide information about comfort care and how to find a palliative doctor near you.
- The Center to Advance Palliative Care evaluates how palliative care rates in each state.
- “A Deeper Understanding of Palliative Care,” an infographic by Georgetown University