Hospice, Inc.

Metropolitan

    
Symptoms & What to Do     Guide To Grief    Q & A    Patient's Rights    Advanced Directives


© 2004 Metropolitan Hospice Inc. All rights reserved
Q. What is Hospice Care?
Back to top
Q. What are the Common Hospice Diagnoses?
Adult Failure to Thrive End Stage Renal Disease Huntington's Disease Myasthenia Gravis Chronic Renal Failure
ALS Dementia or Alzheimer's Disease Liver Disease Parkinson's Disease Non-specific Terminal Illness
Cancer Heart Disease (CHF, CAD) Multiple Sclerosis Pulmonary Disease (COPD) Stroke (CVA) or Coma
Congestive Heart Failure HIV/AIDS Muscular Dystrophy End Stage Renewal Failure
Back to top
Q.
While many people believe that hospice care is unavailable or inappropriate until a patient reaches the last days of his or her life, there is actually a great deal that can be done many months earlier to enhance one's quality of life. Pain and symptom management, emotional support and guidance, assistance in organizing a patient's affairs, and support for caregivers and loved ones are just a few of the many benefits available well before the end of life.
Back to top
Q.

Most insurers and HMOs, public and private, including Medicare, Medicaid, and Blue Cross/Blue Shield cover hospice care. This coverage is called the Hospice Benefit. Hospice is a benefit covered under Medicare eligibility for everyone with a physician who determines that a patient will live six months or less if a disease runs its natural course. A patient retains full Medicare coverage for any health care needs not related to the terminal diagnosis, even if the patient elects hospice care.

Back to top
Q.
The Hospice Benefit covers the following services as long as they relate to the terminal diagnosis and are outlined in the patient's care Plan:
Physician services for the medical direction of the patient's care, provided by either the patient's personal physician or a physician affiliated with a hospice program

Regular home care visits by registered nurses and licensed practical nurses to monitor the patient's condition and to provide appropriate care and maintain patient comfort

Home health aide and homemaker services such as dressing and bathing that address the patient's personal needs

Chaplain services for the patient and/or loved ones, if desired

Social work and counseling services

Bereavement counseling to help patients and their loved ones with grief and loss.

Medical equipment (i.e., hospital beds, walker, wheel chair, oxygen)

Medical supplies (i.e., bandages, catheters)

Drugs for symptom control and pain relief

Volunteer support to assist the patient and loved ones

Physical, speech, and occupational therapy

Dietary counseling.
Back to top
Q. Who pays for Hospice?

Most insurers and HMOs, public and private, including Medicare, Medicaid, and Blue Cross/Blue Shield cover hospice care. Hospice is a benefit covered under Medicare eligibility for everyone with a physician who determines that a patient will live six months or less if a disease runs its natural course. A patient retains full Medicare coverage for any health care needs not related to the terminal diagnosis, even if the patient elects hospice care.

Back to top
Q.   Can a patient change his or her hospice provider?
Yes. A hospice patient has the right to change hospice providers at any point, as long as the newly chosen hospice program is Medicare approved
Back to top
Q.  What if a patient gets better & Why would a patient stop receiving hospice care?
If the patient's condition improves, he or she can be discharged from hospice and return to aggressive treatment or resume daily life. If the patient should later need to return to hospice care, Medicare and most insurance programs will allow additional coverage.
Back to top
Q.  What does Metropolitan Hospice do for Caregivers and Family Members?
Changing the focus from pursuing a cure to providing end-of-life care is not an easy discussion. However, it can be a great relief for patients and families to learn that they have choices in care, symptom and pain management, medical attention, support for loved ones, spiritual and emotional aid, and the option to stay at home. In addition, most people are not aware that hospice care is available to everyone, regardless of their ability to pay, and that it's a benefit provided to Medicare beneficiaries.

Hospice is not the macabre death house that many people envision. In fact, Metropolitan Hospice improves the quality of life during a loved one's final days by fulfilling the spiritual, psychological, and health care needs of both the patient and their family.

Caregivers, who are family members or other loved ones responsible for taking care of the hospice patient, may on occasion, need a break, or respite, from daily care giving. To give the caregiver relief, respite care may be provided in a Medicare-approved facility such as a freestanding hospice facility, a hospital, a nursing home or other long-term care facility, which is covered by Medicare for up to five days at a time.

Our Hospice serves the needs of the entire family. All Metropolitan Hospice bereavement programs are provided free of charge to families up to 13 months following the death of their loved one.

Back to top
Please click here to view more Questions & Answers.
For further information, email us at: comments@methospice.com
 
What services are covered under Metropolitan Hospice?
Who pays for Hospice?
When is Hospice Appropriate?
Hospice care focuses on comfort rather than cure; therefore, hospice care neither accelerates nor postpones a person's death. Metropolitan Hospice offers pain and symptom management when aggressive treatments are not working or providing relief.


Q1.
What is Hospice Care
Q2.
What are the Common Hospice Diagnoses?
Q3. When is Hospice appropriate
Q4. Who pays for Hospice?

Q5. What services are covered under Metropolitan Hospice?
Q6. Who pays for Hospice?
Q7. Can a patient change his or her hospice provider?

Q8.
What if a patient gets better and why would a patient stop receiving
       hospice care?
Q9. What does Metropolitan Hospice do for Caregivers and Family Members?