I've just been told by an advance person for a hospice company desirous of getting our business that Medicare does NOT pay for hospice, in facility, but only for the treating care staff. Apparently the daily rate in our area is about $300 daily. I had thought from reading the posts here that Medicare paid for in-facility hospice care. Apparently I'm mistaken? Has this been the situation for those who've used hospice, that any in-facility placement is out of pocket, even though the staff, meds, etc. are covered by Medicare? I'm going to call Medicare to verify as well, but would appreciate input from others. Thanks much.
I decided for a monthly cost of $9K, I can alternately spend the money on fixing up the house. $9K buys a lot of trades' work and supplies.
I couldn't get any specifics on dysphagia complications, and fortunately or unfortunately, in my experience the pain is limited to the choking. So I don't think he's qualify for room and board coverage on the basis of pain.
I'll answer your responses later; I really appreciate them and the quickness of your advice.
I've just now been told Dad probably will be discharged tomorrow. Unbelievable! A few days ago he was dying, now he's miraculously recovering - oxygen liter flow has been brought down by 6 liters!
He sounded great this morning, but still... I had hoped he'd be there a few more days. But these days the philosophy seems to be quick in, quick out.
Gotta start getting my car loaded with clothes and stuff, including my music - wish me luck in getting my arthritic fingers nimble so I can play the magnificent baby grands at the rehab facility.
Thanks SO MUCH to all....back later.
Medicare did pay Hospice for the rental of a hospital bed, oxygen supply machine, special air mattress, and of course, the Hospice Staff and any meds they needed to use.
I realize when we have to do things quickly for our love ones, it can become overwhelming.
Hospice is an added layer of care. RN visits, bath aid, social worker, volunteers, respite care etc. Most organizations use a case management system. Families can usually keep their primary doc or go with the hospice doc. If done at home hospice/Medicare can supply hospital bed, oxy supplies and lots of other needs.
If Medicare did not cover hospice few could afford it.
If your loved one went to a hospice home, the basic room-and-board costs would not be paid by Medicare. All of the care itself would be paid. (Some hospice facilities have funds to help cover this.)
GA, I think it would be helpful if you sat down with the NH billing person and learn exactly how having hospice will impact the monthly bills. They deal with this again and again and should be able to be very specific with you.
I don't know if there is any difference among various free standing hospice facilities. It might pay to call several.