If I need hospice care in the future, can my Medicare plan cover it?
Answered by 61 licensed agents
Answered by Larry Dalton on April 18, 2025
Broker Licensed in OK & TX
BE SURE THE HOSPICE COMPANY YOU USE , TAKES MEDICARE BEFORE YOU USE THEM
Answered by Mike Alexander on October 6, 2025
Broker Licensed in TX, AL, AR & 16 other states
Answered by Mark Bilgere on August 12, 2025
Broker Licensed in TX, AR, IN & LA, MN, NE & OK
Otherwise, for Home hospice treatment, it would cover things like pain management, through nursing and skilled care, medications, spiritual care, etc. Even Bereavement counseling. But once you step back to a Curative type treatment the hospice coverage stops, and standard medical fees and service rates would apply. There is no Long-Term Care, or any services non related to the hospice care that would be covered.
Answered by Norman Smith on October 14, 2025
Agent Licensed in FL, AL, NJ & PA
Answered by Terri Reagin on July 7, 2025
Broker Licensed in OK, AR, CO & 6 other states
Answered by Christopher Boyd on December 16, 2025
Agent Licensed in IN, KY, MI, OH, PA & TN
Hi, Charise Karjala, Health Markets Insurance Agency, in my office in Palm Desert, California. This question is one that is heartwarming for me because it's one part of Medicare that, when we really need it, it's there in spades. The question is, if I need hospice care in the future, can my Medicare plan cover it? And it's a resounding yes. All hospice care is covered by Medicare at 100%. End-of-life care is something that we all deserve—compassionate and stress-free care. I'm so proud to be part of a system that supports end-of-life care, compassionate care in a way that is kind and gentle, and really lets individual caregivers shine in their compassion and loving attention to people in their final stages. So, thank goodness, yes, we do have Medicare plans that cover it. Thank you for the question.
Answered by Charise Karjala on May 12, 2025
Broker Licensed in CA, AZ, CO, PA & WA
Answered by Christy Jones on July 24, 2025
Broker Licensed in ID, AL, AR & 20 other states
So the Medicare question of the day is, will hospice be covered when I am on Medicare? Absolutely. I just went through this recently in the last couple weeks. Hospice is covered at 100%. You don't need to worry about anything. What I would say about hospice care though is not necessarily the insurance part of it since we do know it's covered at 100% with Medicare. And that's with Medicare supplement, Medicare Advantage, it doesn't matter, it's covered at 100%.
What you really want to do is vet your hospice team. There are a lot of different hospice companies out there. Some people have a misconception of what hospice is. They think that someone's gonna come into the home and be there 24/7. That's not necessarily what hospice does. Hospice is there, they have a skilled nurse, they'll have a CNA, a pastor, a social worker. And then there are a lot of volunteers that will volunteer for story time, music therapy, art therapy, massage therapy, but not all groups do that.
A lot of people with traditional Medicare or traditional hospice care, sorry, will just come in and give you comfort. Comfort meaning they're not sending you to the hospital anymore. You're not going there because they want you to pass at home or wherever you're at in comfort and peace. They're not doing life-saving events for you anymore or that person.
So for instance, if you've got a loved one who's diabetic, let's say, and now there's diabetes or infection in that because there are a lot of people that get amputated toes from neuropathy. And let's say now the infection's going up the toe and you're not losing until you may be losing a foot and you're in your 80s or 90s. Can you really withstand a huge surgery like that? So that would be your family's discretion. It's not that you can't go to the hospital, but it kicks you off hospice and then you gotta come back on.
But do you want to endure that kind of surgery if that's what it is? Yes, they'll give you every antibiotic to keep you going, but do you want to endure the surgery? So these are some really tough conversations that you need to have with your loved ones around you to know what they want. And if and when they do pass, do you want to be cremated? Do you want to be buried? These are uncomfortable conversations that we have to have with our loved ones, but it's really important. And when do you think, and you should talk to all your loved ones around you that you will be caring for when this happens, when is that time?
Answered by Tasha Riggs on June 12, 2025
Broker Licensed in CO, AZ, HI & 10 other states
Answered by Melonie Wood on April 12, 2025
Agent Licensed in FL & AL
Answered by Kerwyn Jones on February 2, 2026
Broker Licensed in FL, AL, AZ & 21 other states
Answered by Kelsey Hentzen on June 9, 2025
Broker Licensed in KS & MO
Answered by Paul Potter on May 6, 2025
Broker Licensed in FL
expense to the patient or family. As a result, the financial burden often associated with caring for a seriously ill patient is lifted. Families making end-of-life decisions for a loved one need compassion and support, not financial worries. The Medicare Hospice Benefit helps alleviate these concerns.
Answered by Robert Pennington on May 5, 2025
Broker Licensed in NC, GA, SC & VA
Answered by Cheri Rogers on May 12, 2026
Broker Licensed in NM & TX
Answered by Kate Spilsbury on October 20, 2025
Broker Licensed in FL, AZ, CA & 7 other states
Answered by Amy Putrino on July 14, 2025
Agent Licensed in RI, AZ, CT & 12 other states
• Nursing care and physician services, Pain relief and symptom‑management medications
• Medical equipment (hospital bed, oxygen, etc.), Medical supplies (dressings, catheters, etc.)
• Hospice aides & homemaker services, Physical, occupational, and speech therapy
• Social work services, Spiritual and grief counseling for you and your family
• Short‑term inpatient care for pain/symptom management, Inpatient respite care (Medicare covers 95% of the cost)
Answered by Sandra (Sandy) Steffy on March 30, 2026
Agent Licensed in VA, AL, DC & 7 other states
Once you elect hospice care, coverage shifts to Original Medicare (Part A) even if you stay enrolled in your Advantage plan.
This is often called the “hospice carve-out.”
Answered by Donna Berube on April 6, 2026
Agent Licensed in NH
Answered by Dino Pappadis on April 27, 2026
Broker Licensed in FL
Answered by Michael White on September 9, 2025
Broker Licensed in IN, AL, CO & 16 other states
To qualify for hospice, your physician must certify that you're terminally ill with a life expectancy of 6 months or less; you agree to accept comfort care instead of treatment; you sign a statement hospice instead of treatment.
In order for Medicare to cover hospice care, you must choose a Medicare approved provider. You may remain on hospice indefinitely, as long as your physician continues to certify that you have a terminal illness with the above-mentioned life expectancy.
Answered by Cynthia Nakaya on April 25, 2025
Agent Licensed in CA, AZ, CO, GA, MO & TX
Answered by Jon Kelderman on September 10, 2025
Broker Licensed in IA, AZ & TX
Answered by Evan Hountz on April 27, 2026
Broker Licensed in OH, FL, IN, KY & TX
Answered by Donna Walbert on August 26, 2025
Broker Licensed in WI, CO, FL & 8 other states
Answered by Alma Preciado on January 5, 2026
Agent Licensed in CA
Answered by Steven Bleicher on May 22, 2025
Broker Licensed in AZ
Answered by Diana Garner on April 14, 2025
Broker Licensed in KY, FL, IN, OH & TN
Answered by Timothy Brown on August 18, 2025
Broker Licensed in PA, CT, DE & 15 other states
Answered by Michael Pyers on April 14, 2025
Broker Licensed in OH & MI
You qualify for hospice care if you meet all these conditions:
Your hospice doctor and your regular doctor (if you have one) certify that you’re terminally ill (with a life expectancy of 6 months or less).
You accept comfort care (palliative care) instead of care to cure your illness.
You sign a statement choosing hospice care instead of other Medicare-covered treatments for your terminal illness and related conditions.
Answered by Thomas Magnus, RHU on January 19, 2026
Broker Licensed in CA, AZ, NV, OR & WA
Answered by Anna Davis CIC-RSSA on August 6, 2025
Broker Licensed in CA
Care must be received by a Medicare approved facility.
There must be a diagnosis of a terminal illness in which life expectancy is less than 6 months.
Palliative care and other holistic services are covered within that Part A scope.
Services and treatments other than those to treat the terminal illness will still be covered under the other Medicare part A & B services.
Planning for long term care and end of life expenses begins long before the need arises. Consult with a knowledgeable advisor to make certain you’re preparing for the logistics, the costs & protecting your assets and legacy.
Answered by Erlynne (Elle) Massie on September 1, 2025
Broker Licensed in AZ, AK, AL & 48 other states
Answered by Hugo Luis Mion on May 26, 2026
Agent Licensed in FL
Answered by Michael Crocker on April 12, 2025
Broker Licensed in SC
Original Medicare will pay your Part A or B hospice services that are related to your terminal prognosis.
Answered by Kathie Rossow on September 15, 2025
Broker Licensed in AZ
Answered by Bill Horton on October 5, 2025
Broker Licensed in GA, AZ, FL & 11 other states
Thank you,
George Nikias
Contact me.
Answered by George Nikias on October 2, 2025
Broker Licensed in OH, FL, GA, IN, KY & WI
Answered by Eric Suhadolc on October 20, 2025
Agent Licensed in WA, AZ & OR
Here's a more detailed explanation:
Eligibility:
To be eligible for Medicare hospice benefits, you must have Medicare Part A, be certified as terminally ill by your doctor with a prognosis of six months or less to live, and choose hospice care instead of curative treatment.
Coverage:
Once you're eligible, Medicare will cover the costs associated with hospice care, which includes a wide range of services like medical care, skilled nursing, personal care, counseling, social services, and respite care.
Medicare Advantage:
Even if you have a Medicare Advantage plan, Original Medicare (Parts A and B) will still cover hospice care if you meet the eligibility requirements.
Cost:
There is no deductible for hospice care under Medicare, and you will not need to pay a co-payment for the services you receive. You will, however, need to continue to pay your monthly Medicare Part A and Part B premiums.
Answered by Fred Manas on May 23, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Vachik Chakhbazian on April 12, 2025
Agent Licensed in CA, AL, AR & 22 other states
If you have Original Medicare (Parts A & B) hospice is covered under Part A when your doctor and the hospice medical director certify that you’re terminally ill with a life expectancy of six months or less.
If you have a Medicare Advantage (Part C) plan, hospice care is still covered by Original Medicare, not by your Advantage plan. You’ll continue to get your hospice services through Medicare Part A, and your plan will still cover other non-hospice benefits (like dental, vision, or prescription drugs, depending on your plan).
Answered by Mary Brown on November 11, 2025
Broker Licensed in NJ, DE, FL & NC, OH, PA & TX
Answered by Andrew Kramer on October 19, 2025
Agent Licensed in FL
Answered by Carol Thompson on August 21, 2025
Broker Licensed in FL, LA, MI & NC, SC, VA & WI
Answered by Mike Henry on April 12, 2025
Agent Licensed in TX
Answered by Michael Kim on May 12, 2025
Agent Licensed in NV, AR, AZ & 18 other states
Answered by Mark Murphy on February 24, 2026
Agent Licensed in NJ, AL, CO & 9 other states
Answered by Kevin Chaikin on May 5, 2025
Broker Licensed in VA, AL, AZ & 31 other states
Answered by Blaine Shipe on October 12, 2025
Broker Licensed in AZ, CA, CO & VA
Advantage Plan.
Answered by Claudia Englert on November 20, 2025
Broker Licensed in OH
Answered by Larry Pereiro on June 2, 2025
Agent Licensed in IN
Answered by Jerry Cohen on April 12, 2025
Broker Licensed in NY
Answered by Ray Rios on November 7, 2025
Agent Licensed in AZ, CO, FL & KY, MO, NM & TX
Answered by Tosha Morell on February 23, 2026
Agent Licensed in GA & FL
Answered by Daniel Matar on May 25, 2026
Broker Licensed in GA, FL, NC & OH
Answered by Wayne Hartzler on September 8, 2025
Broker Licensed in OK
Hospice care is always covered under Original Medicare (Part A), no matter what type of Medicare plan you have.
Even if you’re enrolled in a Medicare Advantage plan (Part C), hospice benefits “carve out” to Original Medicare. That means:
Part A covers hospice directly (not the Medicare Advantage plan).
You can still stay in your Medicare Advantage plan for non-hospice care (like regular doctor visits or prescriptions), but hospice services are billed through Original Medicare.
Hospice includes things like pain management, counseling, medical equipment, and respite care for family caregivers.
Tip: Sometimes people assume their Advantage plan “handles everything,” but hospice is an exception. If that time comes, make sure your providers know you’re electing hospice under Original Medicare so claims go through correctly.
Answered by Otumdi Omekara on September 24, 2025
Broker Licensed in OR, AZ, FL, MI & NV
Answered by Adam Richter on March 9, 2026
Agent Licensed in MD, AK, AL & 16 other states
Answered by John Ward on May 5, 2025
Broker Licensed in TX, FL, GA, LA, NM & OK
Answered by Edward Fisher on June 3, 2026
Broker Licensed in MI & FL
Answered by Bernice Cherry on July 10, 2025
Broker Licensed in NC, SC & TN
Tags: Coverage The Medicare System
Agents: Share Your Expertise
Have insights or experiences related to this topic? Help others by sharing your knowledge and answering this question.
Seniors: Ask a Question of Your Own
Questions are generally answered within 1 to 3 business days. Receive valuable perspectives from multiple licensed agents and brokers.
Ask a Question



























































