Q: Who is eligible for hospice care?
A: The Medicare Hospice Benefit is available to all patients with the Medicare part A benefit and with a life expectancy of six months or less if the terminal illness or disease runs its normal course. The patient, of course, must choose to elect hospice, and the patient's eligibility must be certified by a physician (most often the hospice's medical director, together with the patient's attending physician). In addition, hospice care is covered by most Medicaid and commercial insurance plans. VistaCare accepts everyone who meets those criteria, regardless of the patient's financial situation or insurance coverage.
Q: What services does hospice provide?
A: Hospice includes the services of an interdisciplinary team of healthcare professionals:
Hospice also provides medications, medical equipment and supplies necessary to promote comfort at home or in other hospice settings. Hospice staff are available at all times, 24 hours a day, 365 days a year.
Q: When should patients and families consider hospice?
A: After a diagnosis of a life-limiting illness, patients and their families should consider their choices for care. A patient does not have to be bed-bound or critically ill to be admitted to hospice. A VistaCare representative will be happy to talk with you about the hospice benefit.
Q: Doesn't accepting hospice care mean giving up?
A: Hospice involves acknowledging that most diseases in their advanced form cannot be cured. It does not mean giving up hope. Hope is found in helping the patient and family achieve the highest possible level of physical comfort and peace of mind. Many hospice companies require patients to be "ready" for the end of life before receiving services. At VistaCare, you don't have to be ready. Hope means different things to different people, and we will walk by your side on the journey to live out what hope means to you.
Q: How is hospice different from other medical care?
A: Hospice is focused on all of the patient's and family's needs. A coordinated team of hospice professionals, assisted by volunteers, works to meet the patient's and family's emotional and spiritual needs, along with the patient's physical needs. The emphasis is on controlling pain and symptoms through the most advanced techniques available and on emotional and spiritual support tailored to the needs of the patient and family. Hospice recognizes that a serious illness affects the entire family as well as the person who is ill. The family, not just the patient, is the "unit of care" for hospice professionals. Sometimes other family members actually need more attention than the patient.
Q: How is VistaCare different from other hospices?
A: VistaCare is the one of the largest hospice companies in the United States, and the third largest in number of patients. Our Open Access philosophy is central to the way we practice hospice care. Many hospices require patients to have a caregiver at home, or to agree to give up expensive palliative treatments. VistaCare believes there should be no barrier to high quality end-of-life care, admitting any eligible patient who requests hospice care. VistaCare is committed to the exceptional delivery of clinically sophisticated care. Company-wide standards exceeding industry norms have been implemented in all VistaCare programs, along with programs of professional development for staff and for education of family caregivers. VistaCare is committed to raising the benchmarks of hospice care nationwide.
Q: Who pays for hospice care?
A: Hospice is covered by most insurance plans, including Medicare and Medicaid, with few, if any, out-of-pocket costs to the patient. The Medicare hospice benefit covers costs related to the terminal illness, including the services of the hospice team, medication, medical equipment and supplies. Medicare reimburses for different levels of hospice care (see below) recognizing that sometimes patients require special attention.
Q: What are the different levels of hospice care?
A: The different levels include:
Q: What if I choose hospice care and then live more than six months?
A: Hospice care does not automatically end after six months. Medicare and most other insurers will continue to pay for hospice care as long as a physician certifies that the patient continues to have a limited life expectancy.
Q: What if my condition improves?
A: Occasionally, the quality of care provided by VistaCare leads to substantially improved health. When this happens, VistaCare will transfer care to a non-hospice care provider. Later, if the patient becomes eligible for hospice, the patient can re-elect the hospice benefit. There is no penalty for getting better!
Q: How does hospice manage pain and other symptoms?
A: Hospice physicians and nurses are experts at pain and symptom control. They are continually developing new protocols for keeping patients comfortable and as alert and independent as possible. They know which medications to use singly and in combination to provide the best results for each patient.
Q: Don't pain control medications make people feel "doped up?"
A: When morphine and other pain control medications are administered properly for medical reasons, patients find much-needed relief without getting "high" or craving drugs. The result is that hospice patients often remain more alert and active because they are not exhausted by uncontrolled symptoms.
Q: What kinds of emotional and spiritual support does hospice provide?
A: Hospice recognizes that people are more than a collection of symptoms. People nearing the end of their lives often face enormous emotional and spiritual distress. They are dismayed as their physical abilities begin to fail. They don't want to be a burden on their families. They worry how their loved ones will manage without them. Sometimes, they feel deep regret about things they have done or said - or things left undone and unsaid. Hospice professionals and volunteers are trained to be active listeners and to help patients and families work through some of these concerns so that they can find peace and emotional comfort in their final days.