Who Pays for Care?

Hospice care at Tranquil Oaks is covered by the following:

• Medicare Part A (Hospital Insurance)
• Medi-Cal
• HMO/PPO
• Private insurance plans

medicare

To be eligible to elect for Medicare Hospice Benefit, you must have Medicare Part A and meet the following criteria:

• Your doctor and our hospice medical director must certify that you are terminally ill with a life expectancy of 6 months or less. 
• You accept a plan of care that emphasizes comfort instead of a plan of care to cure and treat your illness.
• You voluntarily sign a statement choosing hospice care instead of other Medicare-covered treatments for your terminal illness and related conditions. (A family member or designated POA may sign the statement if the patient is unable to do so.)

Standard Medicare coverage for services unrelated to your life-limiting illness does not change is not affected by electing Medicare Hospice Benefit. In other words, you will not lose your Medicare coverage if you elect the Medicare Hospice Benefit. Services related to the life-limiting illness and included in the hospice plan of care are covered by the Medicare Hospice Benefit.

medi-cal

Hospice care is paid for by Medicaid, or Medi-Cal. Similar to Medicare eligibility, an individual seeking eligibility for hospice care under Medi-Cal must have a health condition with a life expectancy of less than 6 months, must agree to a care plan of comfort rather than treatment, and must voluntarily file an election statement with the hospice provider.