Does Medicare cover hospice?

You qualify for hospice care if you have Medicare Part A (Hospital Insurance) and meet all of these conditions:¹

1. Your hospice doctor and your regular doctor (if you have one) certify that you’re terminally ill.
2. You accept comfort care (palliative care) instead of care to cure your illness.
3. You sign a statement choosing hospice care instead of other Medicare-covered treatments for your terminal illness and related conditions.

Medicare coverage starts the day you begin to get hospice care.²

Original Medicare can cover everything you need related to your terminal illness. If you were in a Medicare Advantage plan or other Medicare health plan before starting hospice, Original Medicare will still cover these services if you choose to remain in that plan.³

Which services are covered by Medicare’s hospice benefit?

Depending on your illness and symptoms, some items and services that may be covered include:⁴

• Nursing care
• Hospice aide and homemaker services
• Social worker services
• Medical equipment and supplies
• Doctor/Physician Assistant services
• Prescription drugs for symptom control or pain relief
• Dietary counseling
• Physical and occupational therapy
• Speech-language pathology services (like to help with swallowing)
• Grief and loss counseling

Which services are not covered by Medicare’s hospice benefit?

Medicare will not cover these items and services once your hospice benefit starts:⁵

• Treatment intended to cure your terminal illness and/or related conditions
• Prescription drugs that aren’t for your terminal illness or related conditions
• Care from any provider that wasn’t set up by the hospice medical team
• Room and board^*
• Care you get as a hospital outpatient (e.g., emergency room), care you get as a hospital inpatient or ambulance transportation^†

* If your hospice team decides you need short-term inpatient or respite care services that they arrange, Medicare will cover your stay in the facility. You may have to pay a small copayment for the respite stay.⁶

† Medicare may cover these services if your hospice team arranges it or it’s unrelated to your terminal illness and related conditions.⁷

How to find Medicare hospice care

To find Medicare-certified hospices that serve your area, use this Medicare.gov online search tool.

Understanding your hospice care options

Choosing to start hospice care can be a difficult decision. We hope this article helps you understand the ways Medicare can cover hospice care and assists you in finding the end-of-life care you or a loved one deserves.

To learn about hospice services offered by Humana, visit our hospice care at home page.