What Does it Cost?
Understanding the costs of care can be confusing. We are here to help. Give us a call at 920-467-1800.
Levels of Care
The costs of hospice and palliative care are based on the level of care you need: routine, continuous care, respite, or general inpatient care. The level of care is based on your individual needs and is monitored and reviewed daily. It’s important to recognize that the level of care needed is likely to change. We’ll educate you on how to manage your care and your benefits.
HOSPICE LEVELS OF CARE
This level of care is provided in the patient’s home; this can be a private residence, apartment, assisted living, nursing home, or other home like setting. Hospice team members make regularly scheduled, intermittent visits to assess the patient and provide care based on the needs and desires of each patient. The hospice staff is also available on an on-call basis at all times. If routine care is provided in the Hospice Center, room and board is not covered by Medicare, Medicaid or private insurance. The usual and customary fee for Room and Board is $320.00 per day. If this fee is not affordable, our Finance Manager will meet with you to discuss your individual financial situation.
This is a level of care that is provided during a period of crisis to achieve palliation or management of acute medical symptoms in order to maintain the patient at home. Continuous care is provided on a short-term basis when the patient needs more intensive care that is predominantly nursing, for at least 8 hours within a 24 hour period.
This level of care is provided when family members caring for the patient need a break. The hospice team makes arrangements to have the patient transferred to a Medicare approved facility for up to five days at a time while the caregiver gets some much needed rest. The caregiver has the choice of utilizing the Hospice Center or a contracted facility. Room and board is covered under this level of care for a total of 5 days, for each respite stay.
General Inpatient Care (GIP)
This level of care is utilized either in the Hospice Center or a contracted facility when a patient’s need for pain acute or chronic symptom management cannot be managed in the home. When the symptoms are controlled, usually in a matter of a few days, the patient returns home. Room and board is covered during this level of care.
In some cases, patients may be able to remain at the Hospice Center on a residential basis while receiving care at the Routine level. However, this usually means paying out of pocket for room and board, which is not covered by the Medicare Hospice Benefit, Medicaid or private insurance.
Will Insurance Cover My Costs?
If you are covered under Medicare or Medicaid, the costs of hospice care are covered, including full team member support, equipment, supplies, medications (only those medications prescribed for the primary hospice diagnosis), and comfort-related therapies. Room and board expenses at the Sharon S. Richardson Community Hospice Center are covered by Medicare only if you are receiving general inpatient level care or respite care. We will help you understand your benefits and options.
Click here to view Medicare/Medicaid Hospice Benefits
Private insurance policies vary. We will collaborate with your insurance company to maximize your benefits.
Financial assistance is available on an as needed basis, thanks to community support.
It’s never too soon to call us. We are here to understand your needs and explain your options. Sharon S. Richardson Community Hospice is committed to providing exceptional care to everyone in our community who seeks it.