Provided within the patient’s home or eligible residence.
Provided to all patients regardless of reimbursement source.
No time limit if patient continues to meet hospice admission criteria.
Formerly known as acute care
Brief inpatient care to manage acute or chronic symptoms that cannot be managed in other settings.
May be required for procedures to control pain or symptoms.
May be provided in contracted hospitals.
For Unity to be the guarantor, the patient must have a general inpatient care benefit included in the hospice benefit. Medicare and Medicaid have this benefit. Insurance patients are most often hospitalized using his/her major medical insurance benefit; the insurance company may have requirements for pre-certification.
Medicare hospice benefit has a limit of 20% of total hospice days of care that can be provided at an inpatient level of care (includes both general inpatient care and respite care).
To provide a rest period or break for the caregiver.
Care will be provided for a minimum of three days and a maximum of five days per occurrence.
No limit on the frequency respite care is used, but it is expected that it would be used only occasionally.
Available to patient and family based upon reimbursement source.
Provided at the patient’s residence during a short-term, temporary period of crisis.
Requires a minimum of eight hours of care per day and a need for skilled nursing. The nurse (RN or LPN) is required to be present for over half the continuous care hours. A CNA, homemaker, companion sitter, social worker or chaplain may be present when a nurse is not.
All nursing and CNA hours must be included. CNA hours cannot exceed nursing hours.
Available to all patients regardless of reimbursement source (payment varies according to reimbursement source).