Financial Information

Who pays for hospice?

Medicare, Medi-Cal and some private insurances cover the cost of hospice services.

What is the difference between Medicare and Medi-Cal?

Medicare
Medicare is a health insurance program based on federal and state laws. Under Medicare Part A, all the following services are covered when utilizing the hospice benefit:

  • Medical Director services
  • Skilled nursing services
  • Certified home health aide services
  • Social work services
  • Spiritual counselor services
  • Bereavement services
  • Volunteer services
  • Short-term inpatient level of care
  • Short-term respite level of care
  • Durable medical equipment
  • Hospice related medical supplies
  • Hospice related wound supplies
  • Hospice related medications
  • Physical Therapy services
  • Occupational Therapy services
  • Speech Pathology services
  • Specialty programs offered by the hospice company

For more information on Medicare, visit https://www.medicare.gov/


Medi-Cal
Medi-Cal is the Medicaid health care program for the state of California. When utilizing the hospice benefit Medi-Cal typically covers the cost of room and board when a patient’s residence is a nursing facility. When a hospice appropriate patient is not yet eligible for Medicare benefits, Medi-Cal may step in as the primary payor source for all the hospice services.
For more information on Medi-Cal, visit http://www.dhcs.ca.gov/Pages/default.aspx

Private Insurances
If a hospice appropriate patient has a private insurance as their primary payor source, the hospice company will take the necessary steps to inquire the needed prior authorization on behalf of the patient.