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PAYING FOR CARE
QUESTIONS & ANSWERS
Four Seasons operates a nonprofit, community-based, Medicare-certified hospice program. How are hospice services paid?
fied daily rates for care provided. Therefore, Four Seasons delivers care based on the plan of care and is not responsible for care obtained by the patient outside of this plan of care. Remember that these restrictions apply to the terminal illness and relat - ed diagnoses. Unrelated medical problems may be treated in your usual manner with your insurance coverage. Always check with your hospice nurse first before going to the hospital, other appointments, or starting a new medication. Who is eligible for this benefit? • The patient who has Medicare Part A or full Med - icaid coverage. • The patient whose doctor has confirmed the termi - nal condition. • The patient who chooses to focus on symptom management rather than curative care. • The patient who signs a statement choosing hos - pice care benefits. • The patient who receives care from a Medicare- approved hospice. • The patient who has months rather than years to live.
Four Seasons’ services are covered through Medi - care, Medicaid, and many private insurance plans. Medicare pays hospice directly for each day hos- pice is responsible for care. During hospice care, you should not receive a bill from Medicare for hospice or any related service. If any questions come up regarding billing, ask your nurse or social worker for help. Thanks to the generosity of our donors, we’re able to provide services to all pa - tients who need them through the Four Seasons Foundation, as well. What is the Medicare/Medicaid Hospice Benefit (MHB)? Our hospice is certified as a Medicare/Medicaid pro - vider. Patients who meet the admission criteria and are Medicare/Medicaid eligible can elect this ben- efit. In addition to the services already mentioned the Medicare Hospice Benefit provides medications, medical equipment and supplies, inpatient hospice care, hospitalization pre-approved by hospice team
and respite care for caregiver relief. What is pre-authorization?
All services, medications, supplies, or equipment re - lated to the terminal illness for which hospice has been ordered must be pre-authorized by Four Sea- sons. Medicare pays Four Seasons directly at speci-
FourSeasonsCare.org
866.466.9734
Four Seasons
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