By the Talna Hospice Care team. Published . Last updated .
The Medicare hospice benefit, part of Medicare Part A, covers nearly all care related to the terminal illness, including the care team, medications, equipment, and supplies, usually at little or no cost to the patient.
What is covered
When related to the terminal illness and related conditions, Medicare typically covers:
- Physician and nursing services, hospice aide visits, and social work
- Medications for pain and symptom relief
- Medical equipment such as hospital beds, wheelchairs, and oxygen
- Medical supplies such as bandages and incontinence products
- Spiritual care, dietary counseling, and grief support for the family
- Short-term inpatient care and inpatient respite care
What is not covered
Curative treatment for the terminal illness, care from a provider not arranged by the hospice team, and room and board in a nursing home or assisted living community are generally not covered by the hospice benefit.
Costs and benefit periods
The benefit is organized into certification periods:
| Item | How it works |
|---|---|
| First two periods | Two 90-day benefit periods |
| After that | Unlimited 60-day periods with recertification |
| Prescriptions | A copayment of up to $5 per prescription for symptom relief |
| Inpatient respite | Up to 5% of the Medicare-approved amount |
Confirm your coverage
Coverage details can change, and private insurance or Medi-Cal may work differently. Call Talna and we will help you review your coverage, or visit medicare.gov for the official guide.
This article is general education, not medical advice. Talk with your physician about your situation, or call Talna at (951) 677-5300.