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Home Health, Hospice & Palliative Care

Home Health Services

CATEGORYHEALTH CARE
SERVICE/SUPPORT TYPEHome Health Services
AGENCYMedicare
COSTAsk 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
ELIGIBILITY SUMMARYhttps://www.medicare.gov/coverage/home-health-services
WEB LINKhttps://www.medicare.gov/coverage/home-health-services
APPLICATIONSee 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.

Home Health Services

CATEGORYHEALTH CARE
SERVICE/SUPPORT TYPEHome Health Services & Home and Community-Based Services, also known by other names, benefits of Medicaid program
AGENCYCenters for Medicare and Medicaid Services (CMS)
COSTDepends, with or without a monthly Medicaid Share of Cost
ELIGIBILITY SUMMARYPer 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/
WEB LINKhttps://www.medicaid.gov/medicaid/home-community-based-services/index.html
APPLICATIONSpeak 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

Hospice

CATEGORYHEALTH CARE
SERVICE/SUPPORT TYPEHospice
AGENCYMedicare – Medicaid – VA – HMO – Other private health insurance plans
COSTSee Your Costs in Original Medicare https://www.medicare.gov/coverage/hospice-care
ELIGIBILITY SUMMARYHospice 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.
WEB LINKhttps://www.medicare.gov/coverage/hospice-care
APPLICATIONSee Hospice Care information in the Additional Info section for information about how to apply with your particular insurance
ADDITIONAL INFOLearning 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  
Medicaid: https://www.medicaid.gov/medicaid/benefits/hospice/index.html  
VA: https://www.va.gov/GERIATRICS/guide/longtermcare/Hospice_Care.asp  
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)

Palliative Care

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.”

https://www.deathwithdignity.org/learn/end-of-life-resources/#polst

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