Does Medicare pay for hospice in a skilled nursing facility?

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asked Sep 22, 2019 in Diseases Conditions by Sanreshe (300 points)
Does Medicare pay for hospice in a skilled nursing facility?

2 Answers

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answered Sep 25, 2019 by liana (37,450 points)
As long as the skilled nursing facility or hospice care facility has a contract with the Medicare program then yes the Medicare will pay for the hospice care in a skilled nursing facility.

Medicare will not pay for the room and board portion usually though but will pay for the hospice care so you will usually have to pay out of pocket for the room and board at the skilled nursing facility.

Some other health insurance might cover the cost of the skilled nursing facility room and board while the Medicare program covers the cost of the hospice care at the skilled nursing facility.

The patients doctor will have to get in touch with the Medicare program to approve the care needed by the hospice care in the skilled nursing facility though.
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answered Sep 5 by Mandymorgan (13,510 points)
The difference between hospice and palliative care is hospice focuses specifically on the period during the time closest to death of the patient and provides support and healthcare leading up to the death of the patient.

Palliative care focuses on maintaining the patients highest quality of life while managing treatment and other needs and does not always mean the patient is dying.

Hospice care is for patients that are expected to die soon usually within 6 months or less.

Palliative is not end of life care although some people do have palliative care at end of life but they are different.

Palliative care and end-of-life care are similar because they both relieve pain, increase comfort, and improve quality of life.

Palliative care is specialized medical care providing physical, emotional and spiritual support for people living with chronic conditions or serious illness.

End-of-life care is health care provided in the time leading up to a person's death.

End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks.

End-of-life care includes physical, emotional, social, and spiritual support for patients and their families.

The goal of end-of-life care is to control pain and other symptoms so the patient can be as comfortable as possible.

End-of-life care may include palliative care, supportive care, and hospice care.

Palliative care does not always mean death like hospice care often means.

Palliative care is an option for people even when they will survive their illness and is still an option of care whether you're expected to pass away or live.

The palliative care isn't only for people who are terminally ill, and it is not the same as hospice care.

An example of palliative care is minimizing a patients pain and discomfort and alleviating any emotional distress, depression or anxiety.

Palliative care can help the patient connect with a financial advisor to help with financial planning.

The palliative care support includes planning for where you'll live during your illness, including at home, with a loved one, or in an assisted living facility or nursing home.

Palliative care is a type of specialized medical care which focuses on providing the patient with relief from pain and other symptoms of a serious illness they are facing.

The palliative care can also help a patient cope with any side effects from medical treatments.

And the availability of any palliative care doesn't depend on whether or not the condition or illness you have can be cured or not.

The goals of palliative care include.

Aligning treatment outcomes with the patient's values and preferences.
Improving quality of life for both the patient and the family.
Minimizing pain and discomfort.
Alleviating emotional distress, anxiety, or depression.
Assisting with safety, mobility, and equipment.
Spiritual counseling.

The three main forms of palliative care are symptom management, emotional support and spiritual care.

Symptom management is the primary purpose of palliative care.

It includes monitoring and treating symptoms that may include pain, nausea, fatigue, difficulty breathing, depression or anxiety.

Outside of hospice care, Medicare pays for palliative care for the same lengths of time and at the same level that it pays for other care.

Part A inpatient stays will be subject to a deductible each benefit period and daily coinsurance after 60 days.

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