Does Medicare Advantage Cover Hospice

Does Medicare Advantage Cover Hospice in Portland, OR?

Navigating the complexities of healthcare coverage can be daunting, especially when it comes to end-of-life care. Understanding the specifics of hospice coverage under Medicare Advantage plans is essential for making informed decisions about care during this critical time. At Agape Hospice NW, we want to ensure that you feel good about your hospice decisions. Learn more about Medicare Advantage and hospice care in Portland, OR.

What Is Hospice Care?

Hospice care focuses on providing comfort and support to patients with terminal illnesses, typically those with a life expectancy of six months or less. The primary goal is to improve the quality of life by managing symptoms and offering emotional, spiritual, and social support. Some of hospice care services include:

• Pain and symptom management
• Medical equipment and supplies
• Counseling and emotional support
• Respite care for family caregivers
• Bereavement support

What Is Medicare Advantage?

Medicare Advantage, also known as Medicare Part C, is an alternative to Original Medicare. These plans are offered by private insurance companies approved by Medicare. They provide all the benefits of Parts A and B, often including additional benefits like vision, dental, and prescription drug coverage.

Is Hospice Care Covered?

When it comes to hospice care, Medicare Advantage plans work a bit differently. At Agape Hospice NW, we want to help you make informed decisions regarding end-of-life care:

• Original Medicare Coverage: Hospice care for beneficiaries enrolled in Medicare Advantage plans is covered under Original Medicare (Part A). This means that even if you have a Medicare Advantage plan, your hospice care will be billed to Original Medicare.
• Plan Benefits: While hospice care is covered by Original Medicare, Medicare Advantage plans may still provide additional benefits unrelated to hospice care, such as prescription drugs or extra support services.
• Cost Sharing: Once you qualify for Original Medicare, hospice care is generally free, but Medicare Advantage plans might have different cost-sharing structures for other services unrelated to hospice care.

How Can I Can Access Hospice Care With Medicare Advantage?

To gain access to hospice care, patients or their loved ones need to follow a series of steps. Once these steps are concluded, you can choose your hospice care. Learn about the steps to access hospice care:

1. Consult Your Doctor: Speak with your primary care physician or specialist about your prognosis and the need for hospice care.
2. Referral to Hospice: Obtain a referral from your doctor to a Medicare-certified hospice provider.
3. Admission to Hospice: The hospice team will evaluate your condition and create a personalized care plan once referred.

Hospice Care at Home and Medicare Advantage

Medicare Advantage does cover hospice care. The coverage itself is provided through Original Medicare. This ensures that patients receive the necessary end-of-life care without additional costs. Medicare Advantage plans can still offer supplementary benefits that may enhance the overall care experience. If you have more questions or need assistance understanding your specific plan, consider contacting your Medicare Advantage plan provider or consulting a healthcare advisor. Making informed decisions about hospice care can significantly improve the quality of life during this critical time. Contact Agape Hospice NW today to learn more about our at-home hospice care.

Questions? Contact Us