If you, a loved one or someone you know needs hospice care, please make sure that they get the care they need. You should not be concerned about insurance coverage or paying for care as there are many options for payment and insurance coverage as shown below.
Who Pays for Hospice Care?
Hospice is paid for through the Medicare Hospice Benefit, Medicaid Hospice Benefit, and most private insurers. Medicare is the primary payer for nearly two-thirds of hospice patients. If someone does not have coverage through Medicare, Medicaid or a private insurance company, we will help assist and direct that person and their family to services able to meet their needs.
If the terminally ill individual is a Medicare beneficiary, hospice is a covered benefit under Part A. All other Medicare services continue under Parts A & B, including those of the person’s attending physician. Hospice payments do not interfere with any other Medicare payments for other illnesses, diseases or care.
Hospice coverage under Medicaid is available in the State of Texas. In general, Medicaid hospice benefits parallel the Medicare benefit, although there may be some variations in certain states.
Amazing Grace Hospice is a provider with Blue Cross Blue Shield of Texas. Click here for coverage of hospice care with your BCBSTX insurance plan. Amazing Grace Hospice will work with other insurance companies willing to work with an out-of-network provider.
Tricare is the health benefits program for military personnel and retirees. Hospice is a fully covered benefit under Tricare. Only Medicare-certified hospices, like Amazing Grace Hospice™, can provide for the Tricare hospice benefit, so it is important that patients and family check with their health benefit advisor or health care finder to help them locate a qualified hospice agency.
If insurance coverage is unavailable or insufficient, the patient and the patient’s family can discuss private pay and payment plans.