Eligibility

**Homebound w/ a “skilled” care need.

Life expectancy of 6 months or less and is not seeking curative treatment.  No homebound or “skill” requirement.

Skilled Nursing

Nursing must be intermittent or part time.  Maximum of 35 hours/week of combined nursing & home health aide services.

No maximum or minimum number of hours per week.  Number of visits and hours of care based on patient need.

Home Health Aide

Covered when accompanied by a “skilled” care need.

Covered.  Number of visits and hours of care based on patient need.

Homemaker Services

Not covered.

Light housekeeping & light meal preparation covered.  Based on patient need.

Chaplain/Pastoral Counseling

Not covered.

Covered.

Social Services

Patient and family.

Dietary Counseling

Not covered.

Covered.

Medication Costs Related to Primary Illness

Not covered.

Covered.  Medications related to the terminal illness covered.

Durable Medical Equipment

80% covered.

100% covered.

Continuous Nursing Care

Not covered.

Continuous nursing care provided for short intervals for medical crisis.

Volunteer Services

Not covered.

Covered and may include assistance with transportation.

Services to Patients in Skilled Nursing Facilities

Not covered.

Covered.

Respite Care

Not covered.

Covered for a maximum of 5 days.

Bereavement Services

Not covered.

Covered for a minimum of 13 months after a death.

Curative Care

Covered.

Not covered.