Home Health ServicesHome Medical equipmentHospiceCommunity Health and Wellness

Comparison of Home Health to Hospice

Note: Insurance providers may have special provisions for Hospice benefits which vary from what is described here.

Home Health Care Hospice
Patient needs part-time, intermittent skilled care, needs to be homebound. Criteria Patient is certified terminally ill by physician, elects hospice benefit. Does not need to be homebound.
Covered for part-time or intermittent skilled care and personal cares. RN Covered for skilled and supportive care.
80% of approved charges covered under Part B Physician 100% covered for services related to the hospice diagnosis with prior approval.
Covered for services to patient only. Social Worker Covered for services to patient and caregivers.
Not covered. Spiritual Counselor Covered for services to patient and caregivers.
Covered for part-time or intermittent care for personal care. HomeHealth Aide Covered as specified in plan of care.
Not provided. Volunteers Provided as specified in plan of care.
Medical necessity, skilled service PT, OT, Speech Covered as specified in plan of care.
Not covered. Dietitian Covered as specified in plan of care.
Covered under Part A hospital benefit. Inpatient Care Hospital stay provided for pain, symptoms or psychosocial crises.
Not covered. Respite Care Provided for up to 5 days when needed by family.
Not covered. Services to Nursing Home Residents Hospice services as above for terminally ill patients (excludes room and board).
Included urgent nursing needs only. 24- HourOn-Call Services RN available on-call 24/7.
Not included. BereavementFollow-up Resources and support to families and caregivers for 13 months following ptís death.
Not covered. Medication Prescription medications related to terminal condition(s) are covered when approved by Hospice Team.
Covered at 80% of approved Medicare amount. Durable Medical Equipment 100% covered if approved by Hospice Team.
Covered. Medical Supplies Covered if approved by Hospice Team and related to terminal illness.

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