How is Hospice Paid?

Hospice is paid for through the Medicare Hospice Benefit, Medicaid Hospice Benefit, and most private insurers. If a person does not have coverage through Medicare, Medicaid or a private insurance company, hospice will work with the person and their family to ensure needed services can be provided.

Medicare Hospice Benefit

The Medicare Hospice Benefit, initiated in 1983, is covered under Medicare Part A (hospital insurance). Medicare beneficiaries who choose hospice care receive a full scope of medical and support services for their life-limiting illness. Utah Hospice Specialists is a Medicare-certified provider. The Medicare benefit covers virtually all aspects of hospice care with little out-of-pocket expense to the person or family.

Who is Eligible for Medicare Hospice Benefits?

You are eligible for Medicare hospice benefits when you meet all of the following conditions:

•You are eligible for Medicare Part A (Hospital Insurance), and

•Your doctor and the hospice medical director certify that you have a life-limiting illness and if the disease runs its normal course, death may be expected in six months or less to live, and

•You sign a statement choosing hospice care instead of routine Medicare covered benefits for your illness, and

•You receive care from a Medicare-approved hospice program.

Insurance companies accepted by

Utah Hospice Specialists:

Altius
BlueCross BlueShield
Champ VA
Cigna Indemnity Plan
Coventry Health Care
Deseret Mutual Secure
EMI Medicare PFFS
EverCare POS
First Health
Galaxy Health Network
Health Choice (St. George only)
Health Smart Preferred Care
Health Utah Physicians Network
Healthy Advantage
Healthy U
Humana Gold Choice/Medicare PFFS
Humana Medicare PPO
Long Term Solutions
Medicaid
Medicare
Mailhandlers
Molina
MultiPlan
National Preferred Provider Network
New Choices Waiver Program
PEHP Preferred Plan Only
Qualified Benefit Solutions
Regence Health Wise
Regence ValueCare
Sterling Health Plans
Sterling Medicare Advantage PFFS
Summit Care
Tall Tree
TriWest Health Care (SL only)
Union Pacific Health Systems
University Of Utah Health Plans
USA Managed Care Organization
Veterans Affairs
Wise Provider Network

Coverage may be available for other carriers such as United Health Care. For information call 1-877-344-8600