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.
Coverage
- Home
- Coverage
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.
Medicare
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.
Medicaid
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.
Private Insurance
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
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.
Private Pay
If insurance coverage is unavailable or insufficient, the patient and the patient’s family can discuss private pay and payment plans.
Coverage Areas
Austin County
Fort Bend County
Montgomery County
Colorado County
Harris County
Waller County
Amazing Grace Hospice™ embraces our work with love and compassion. We take care of people of varying ages, all walks of life, and from all socio-economic groups irrespective of a person’s beliefs, ethnicity, or their ability to pay. Our services are designed to meet your needs and we are a leader in hospice care within our coverage areas.
We offer hospice care in the home and in residential facilities. In addition, we provide inpatient and respite care when required.
Our services are available to everyone who needs them in the Houston area and the 6 surrounding counties.
Eligability Requirements
Who is Eligible?
The simple answer is that hospice benefit is available to anyone with a life expectancy of six months or less if the life-limiting illness or disease runs its normal course. The patient must choose to elect hospice and the patient’s eligibility must be certified by a physician.
Who Pays for Hospice Services?
Most hospice services are covered by Medicare, Medicaid and most private insurances. Medicare and Medicaid are the most common funding sources for individuals who enroll in Hospice care. Medicare is a health insurance program offered by the government for seniors age 65 and older. People under age 65 with certain disabilities or end-stage renal disease are also eligible for Medicare. With Medicare and Medicaid, there are minimal out-of-pocket expenses, even for medications, equipment and other high-cost items that are often needed in the last months of life. Your family’s financial burden is often reduced by the financial relief that the Medicare/Medicaid hospice benefit offers.
Medicare / Medicaid hospice benefit covers:
|
|
| . . . And other services as well | |
For more information about Medicare & Medicaid services, please view the Medicare Hospice Benefits booklet.