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COMPARE MEDICARE BENEFITS
COMPARE MEDICARE BENEFITS

Medicare Hospice Benefit vs. Medicare Home Health Benefit

There are several dissimilarities in the services that are provided and covered by the Medicare Hospice Benefit and the Medicare Home Health Benefit. While both benefits provide services to the patient’s home, the Medicare Hospice Benefit is limited to individuals with terminal illness.

The Hospice Benefit is more cost effective for terminally ill patients and their loved ones than the Home Health Benefit. The Hospice Benefit has pain and symptom management protocols optimal for terminally ill patients as well as supportive services for both the patients and their loved ones.

SERVICES MEDICARE HOME HEALTH BENEFIT MEDICARE HOSPICE BENEFIT
Physician Not covered, but 80% of approved charges are covered under Part B Attending physician 80% covered under Part B; Hospice physician 100% covered
Skilled Nursing Covered for skilled care, if part-time or intermittent, or daily for 21 days or less Covered for skilled and supportive care
Medications Not included Covered, related to terminal illness
Durable Medical Equipment 80% of approved amount covered 100% covered
Medical Supplies Medical supplies covered Medical and personal supplies covered
24-hour On-call Nurse Not required Included
Medical Social Work Covered for patient Covered for patient and caregivers
Homemaker / Home Health Aide Covered if part-time or intermittent, must provide “hands-on, personal care”, 28-35/wk with SN & HHA Covered, no hourly restriction
Volunteers Not included Included for patients and loved ones
Chaplain Services Not covered Covered
Bereavement Care Not included Included
Dietician Not covered for individual patients Covered
Physical, Speech, and Occupational Therapy Covered, limitations on occupational therapy Covered
Services to Nursing Facility Residents Not covered Covered, not including Room & Board
Inpatient Care Not covered Covered
Respite Care Not covered Covered for up to 5 consecutive days, possible coinsurance
Skilled Continuous Care Not covered Covered, during periods of medical crisis

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