Eligibility and Cost

The cost of Hospice care is usually paid for by Medicare, private insurance or private pay.  The Grace Hospice Foundation often subsidizes care for patients and families without the ability to pay for services. Click on each item below to learn more.

  • Medicare, the Standard for Hospice Eligibility
  • To be eligible for the Medicare hospice benefit, a doctor and the hospice medical director (also a doctor) must certify that the patient has less than 6 months to live if the disease runs its normal course. The doctor must re-certify the individual at the beginning of each benefit period (2 periods of 90 days each, then an unlimited number of 60-day periods). This is the standard for Hospice Eligibility for most payment sources.

    To specifically use Medicare as a payment source, the patient signs a statement that says he or she understands the nature of the illness and of hospice care, and that he or she wants to be admitted to hospice. By signing the statement, the patient declines Medicare Part A and instead chooses the Medicare hospice benefit for all care related to his or her cancer. The patient can still receive Medicare benefits for other illnesses. A family member may sign the statement if the patient is unable to do so.
  • Private Insurance
  • Most private insurance companies include hospice care as a benefit. Grace Hospice is contracted as a provider for most major insurance carriers.
  • Private Pay
  • If insurance coverage is not available or is not enough to cover the costs, the patient and the family can hire hospice providers and pay for services out-of-pocket. Most hospices will make arrangements to provide services if patients have limited or no financial resources. Grace Hospice believes that hospice care is everyone’s right and it will not base admission to its program or the nature of its service based upon the patient’s ability to pay. All patients receive the same superior level of care.