Quick Answer
Medicare coverage for hospice care is available if you qualify per Medicare guidelines and use a Medicare-approved hospice provider. However, not all circumstances warrant Medicare coverage for hospice. So, you’ll need to thoroughly understand the guidelines to ensure your needs are covered.
Coverage Comparison by Plan Type
| Plan Type | Coverage | Notes |
|---|---|---|
| Original Medicare | Some Plans | Limited coverage under specific conditions |
| Medicare Advantage | Some Plans | Coverage varies by plan and ZIP code |
| Medigap | Not Covered | Only supplements Original Medicare benefits |
| Medicare Part D | May Cover Related Rx | May cover related prescriptions |
Understanding Your Coverage Options
Original Medicare (Part a & B)
Original Medicare (Part A & B) provides coverage for this service when medically necessary. Standard cost-sharing (deductibles and coinsurance) may apply.
Medicare Advantage (Part C)
Medigap plans do not have networks. Therefore, if you have a Medicare Supplement plan, you can enjoy supplemental coverage regardless of the network for your skilled nursing facility.
Medicare Supplement (Medigap)
Medicare Supplement (Medigap) provides coverage for this service when medically necessary. Standard cost-sharing (deductibles and coinsurance) may apply.
✦ Frequently Asked Questions
David Haass
AuthorDavid Haass is a licensed Medicare expert who has been helping beneficiaries navigate their Medicare options for over a decade.
Ashlee Zareczny
ReviewerAshlee Zareczny is a licensed Medicare agent dedicated to helping those eligible for Medicare find the best coverage options.