What Medicare Won't Cover

alt When you choose hospice care, Medicare won’t cover any of the following:

- Treatment intended to cure your terminal illness

You should talk to your doctor if you are thinking about getting treatment to cure your illness. As a hospice patient, you always have the right to stop hospice care at any time and get the Medicare coverage you had before you chose hospice care.

- Prescription drugs to cure your illness rather than for symptom control or pain relief.

- Care form any hospice provider that wasn’t set up by the hospice medical team.

You must get hospice care from the hospice provider you chose. All care that you get for your terminal illness must be given by or arranged by the hospice medical team. You can’t get the same type of hospice care from a different provider, unless you change your hospice provider.

- Room and Board

Room and Board aren’t covered by Medicare if you get hospice care in your home or if you live in a nursing home or a hospice residential facility. However, if the hospice medical team determines that you need short-term inpatient or respite services that they arrange, your stay in the facility is covered. You may be required to pay a small copayment for the respite stay.

- Care in an emergency room, inpatient facility care, or ambulance transportation, unless it’s either arranged by your hospice medical team or is related to your terminal illness.

Note: Contact your medical hospice team BEFORE you get any of these services or you might have to pay the entire cost.