Making The Choice
Whether its hospice or palliative care it the patient and family remain together in the comfort and security of their own home, or wherever they may reside. Including skilled nursing and long-term care, assisted living and residential care facilities.
When is it time for a hospice?
Patients are eligible for hospice care when the physician determines the patient has a life expectancy of 6 months or less.
Hospice care can be beneficial for patients when a curative treatment is no longer an option or appropriate. This choice is a compassionate and attentive option providing a tremendous amount of support for both the patient and family. Hospice exists to provide not only physical support but also emotional and spiritual assistance at such a critical time.
Most importantly while under the care of Angeles Vista Hospice, patients stay in the comfort of their own home being surrounded by their loved ones. Coverage Hospice care is a covered benefit under Medicare and MediCal/Medicaid for eligible patients with a prognosis of six months or less. The benefit covers all services, medications, and equipment related to the illness. Most major private insurers and HMO’s also offer hospice coverage. All billing and paperwork related to the patient’s illness will be handled by hospice. At any time a patient can choose to discontinue hospice care.
Like hospice, palliative care is helpful in alleviating pain and providing comfort to those suffering from life-limiting illnesses. The difference is that palliative care is less time restrictive and can lasts for years. With it, a patient can expect excellent symptom management, working toward improving functionality, and realistic goal setting. Our program provides expert clinician support every step of the way to improve the patient’s quality of life.
Unlike hospice care, palliative is appropriate for patients of all disease stages, including those undergoing treatment for curable illnesses and those living with chronic diseases, as well as patients who are nearing the end of life. Palliative care program utilizes a multidisciplinary approach to patient care, relying on input from physicians, pharmacists, nurses, chaplains, social workers, psychologists, and other allied health professionals in formulating a plan of care to relieve suffering in all areas of a patient’s life. This multidisciplinary approach allows the palliative care team to address physical, emotional, spiritual, and social concerns that arise with advanced illness.
- 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.
- Nearly all states and the District of Columbia offer hospice coverage under Medicaid. In general, Medicaid hospice benefits parallel the Medicare benefit, although there may be some variations in certain states.
- Private Insurance
- Most insurance plans issued by employers and many managed care plans offer a hospice benefit. In most cases, the coverage is similar to the Medicare benefit, although there may be some variations between employers.
- Tricare is the health benefits program for military personnel and retirees. Hospice is a fully covered benefit under TRICARE. Only Medicare-certified hospices can provide for the TRICARE hospice benefit, therefore 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.
- Charity Care
- Under Medicare law, no person may be refused hospice care due to inability to pay. Each hospice has a financial specialist on staff to answer questions about receiving financial assistance. Funds may be available from donations, gifts, grants or other community sources to help cover the costs of care.
- Skilled Nursing and Caregiver
- Medical Doctor
- Medical Social Worker
- Spiritual Consultation
- Massage Therapy For Patient & Personal Caregiver
- Medical Equipment & Supplies
- On-Call 24-Hours
- Medications for pain control and symptom management
- Certified Nursing Assistance
- Homemaker services, Caregiver support and training
- Physical Therapy/Occupational Therapy
- Medical Social Worker
- Dietitian counseling
- Short-term respite care
- Bereavement services
- Spiritual consultation
- Massage Therapists Available For Patients and Caregivers