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Forbes Hospice

Eligibility Overview

Eligibility for Hospice Care

Hospice care focuses on comfort and quality of life for people who have serious, life-limiting illnesses or conditions. Pain and symptom management as well as emotional and spiritual support are hallmarks of hospice care. When it is felt that someone has weeks or months rather than years to live, then hospice care is appropriate. The general guideline is a life expectancy of 6 months or less. And there is no limitation as to how long one can stay on hospice care. As long as their physician can certify that the care is medically appropriate, that person can receive the care of hospice.

Serious illnesses such as cancer, heart and lung disease, kidney and liver disease, end-stage neurological diseases, Alzheimer’s and other dementias, AIDS and other life limiting conditions may be helped by hospice care.

Hospice care is primarily covered by a person’s health insurance. Medicare has a specific hospice benefit that covers the costs of hospice care. Medicaid and medicaid-managed care plans also have hospice benefits. Most commercial insurances do as well, but each plan needs to be checked. As Forbes Hospice and Palliative Care is a nonprofit agency, we will not turn anyone away due to lack of insurance or ability to pay. Our admission staff is available to evaluate the appropriateness for hospice and to answer any of your questions.


Eligibility for Palliative Care

If you have a serious illness and are experiencing issues with symptoms such as pain, shortness of breath, anxiety, nausea, weakness or other problematic symptoms, then palliative home care may be of benefit to you. In contrast to hospice care, palliative home care is for patients who may still be receiving treatment. In addition to the experience and support of our care team, a benefit of Forbes Hospice and Palliative Care is our full-time medical director, Dr. Randy Hebert, who is certified in hospice and palliative medicine, being available for consultation and direction.

Serious illnesses such as cancer, heart and lung disease, kidney and liver disease, end-stage neurological diseases, Alzheimer’s and other dementias, AIDS and other life-limiting conditions can benefit from palliative care.

Coverage for palliative care is covered under the home care benefit of a person’s insurance. The length of time coverage continues depends upon medical necessity and the insurance provider. In general, though, palliative home care is time limited, but the care team can help in arranging other support services as may be appropriate. Our admission staff can answer questions and help you navigate what care option may be best suited for you.

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