You are here

Who Pays for Hospice:

    MEDICARE / INSURANCE



    When Hospice is on your side, you’re never alone, and you don’t have to shoulder the financial burden yourself either. Financial coverage is available through the Hospice Medicare Benefits, HMOs and private insurance companies. Patients who qualify for and are approved for New York State Medicaid may have their care covered under this benefit.

    Private Insurance Benefits
    Many private insurance companies and HMOs provide coverage for Hospice services. In New York, law mandates private insurance companies to provide a Hospice benefit. For details, contact your insurance company or call the Hospice of New York office.

    Medicare Benefits
    Hospice is available as a benefit under Medicare (Part A). Medicare beneficiaries who choose Hospice care receive non-curative medical support and psychosocial services to help cope with both the symptoms of the terminal disease as well as the emotional and spiritual struggles of end-of-life issues. The Medicaid Hospice Benefit is identical to the Medicare Hospice Benefit in both services and reimbursement.

    Patients entitled to benefits under Medicare Part A can choose Hospice care when they meet the Hospice admission criteria; basically, when the patient’s doctor and the Hospice Medical Director certify the patient prognosis is limited to months, not years. Medical needs unrelated to the Hospice diagnosis are covered under Standard Medicare Benefits.

    Current Medicare Rates

    NYC:
    • RHC $190.04
    • CHC $1,109.13 or $46.21/Hour
    • GIP $835.08
    • IRC $ 189.15

    Nassau:
    • RHC $187.68
    • CHC $1,095.35 or $45.64/Hour
    • GIP $825.29
    • IRC $ 187.22