| Hospice |
Home Health |
| 1. The patient has multiple benefit periods. |
1. The patient must have a reasonable end-point to skilled care. |
| 2. The patient is encouraged to live and participate in any activities they find enjoyable. |
2. The patient must be homebound and is limited in participating in some activities. |
| 3. Counseling support (including social and spiritual counseling) is provided for the patient/family. |
3. Visits by a social worker or mental health nurse are provided to the patient. |
| 4. Volunteer services are covered. |
4. No volunteer services are covered. |
| 5. Medications, supplies and equipment related to the terminal diagnosis are covered expenses. |
5. Some supplies are covered expenses, but there is no benefit for medications. |
| 6. 24-hour pharmacy coverage is available. |
6. There is no guarantee of pharmacy coverage. |
| 7. Respite care to relieve caregivers is a covered benefit. |
7. There is no respite care for caregivers. |
| 8. Continuous care is provided during times of crisis. |
8. There is no continuous care. |
| 9. Family and friends are provided bereavement follow-up for up to 13 months. |
9. There is no need for a bereavement benefit. |
| 10. Care is provided in skilled nursing facilities, private homes, assisted living settings and hospitals. |
10. Care is provided in private homes, assisted living settings and personal-care homes. |