WHAT DO I PAY?
Medicare pays the hospice provider for your hospice care. You will have to pay the following:
• No more than $5 for each prescription drug and other similar products for pain relief and symptom control
• 5% of the Medicare-approved amount for inpatient respite care
All Medicare-covered services you get while in hospice care are covered under Original Medicare, even if you are in a Medicare Advantage Plan (like an HMO or PPO) or other Medicare health plan. However, your plan will continue to cover you for any extra services not covered by Original Medicare. If you choose to stay in your Medicare Advantage Plan while getting hospice care, you must continue to pay your plan’s monthly premium.
Important: Original Medicare will still pay for covered services for any health problems that aren’t related to your terminal illness. You pay coinsurance and deductibles for these services.
“Medicare and Hospice Benefits: Getting Started” isn’t a legal document. More details are available in the “Medicare Hospice Benefits” booklet. Official Medicare Program legal guidance is contained in the relevant statutes, regulations, and rulings.
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