medicare hospice benefit

Medicare Hospice Benefit: What Part A Covers

Medicare Part A covers hospice care for eligible beneficiaries who have a terminal illness and choose comfort-focused care instead of treatment to cure their condition. Hospice care focuses on pain relief, symptom management, emotional support, and quality of life, and is provided by a Medicare-approved hospice team in your home or another care setting.

Hospice Care Medicare Coverage

If your doctor confirms that you have a terminal illness and believes you may have about six months or less to live, you may qualify for hospice care coverage through Medicare. Hospice care isn’t about trying to cure your illness; it’s about helping you feel as comfortable as possible by easing pain, managing symptoms, and supporting your quality of life.

You may qualify for Medicare hospice coverage if:

  • You’re enrolled in Medicare Part A (or a Medicare Advantage plan that includes Part A benefits)
  • Your doctor or a hospice medical director certifies that you have a terminal illness and a life expectancy of six months or less
  • You choose comfort-focused care rather than treatment meant to cure your condition
  • You sign a statement confirming your decision to elect hospice care instead of Medicare-covered treatments for your terminal illness and related conditions
  • You receive care from a Medicare-approved hospice provider, whether that’s in your home or another place you live, such as a nursing home

What Medicare Hospice Care Covers

Medicare’s hospice benefit covers a range of services focused on comfort, dignity, and support rather than curative treatment. As a hospice patient, you’ll have access to comprehensive support services. Covered services may include:

  • Prescription medications and medical treatments intended to relieve pain and control symptoms
  • Ongoing life care from a coordinated hospice team, such as doctors, nurse practitioners, and social workers, plus emotional, spiritual, and bereavement support for both you and your loved ones
  • Durable medical equipment and medical supplies needed to help manage symptoms and improve comfort
  • Assistance from hospice aides or homemakers with personal care tasks and everyday activities
  • Therapy services, including physical or occupational therapy, as well as dietary support, when it helps maintain comfort
  • Short-term inpatient care when symptoms or pain can’t be adequately managed at home
  • Limited respite care that allows caregivers time to rest while you continue receiving hospice services
Agent tip:

Choosing hospice care doesn’t mean giving up all Medicare coverage. Medicare may still cover care for conditions unrelated to your terminal illness, as long as your hospice team or doctor determines it’s not part of your hospice plan of care.

What Medicare Part A Does Not Cover

Before receiving certain types of care, it’s important to confirm with your hospice team. If a service isn’t part of your hospice plan of care, you may be responsible for the full cost. Medicare Part A generally does not cover:

  • Treatments or prescription medications intended to cure your terminal illness or related conditions
  • Hospice care provided by a hospice organization that is not approved by Medicare
  • Room and board costs, whether care is provided at home, in a nursing home, or in a hospice inpatient facility
  • Hospital or emergency care, inpatient hospital stays, outpatient services, or ambulance transportation, unless the hospice team coordinates the care or it’s for a condition unrelated to your terminal diagnosis.

How Much Does Hospice Care Cost?

According to Medicare.gov, for covered hospice care services in 2026:

  • Covered hospice services: $0
  • Prescription drugs: Up to $5 copayment for each prescription drug or pain relief and symptom control product while you’re at home
  • Inpatient respite care: 5% of the Medicare-approved amount

Unlike other Medicare Part A services, Medicare hospice care does not require you to pay the inpatient hospital deductible.

Bottom Line

Medicare Part A covers hospice care for eligible beneficiaries who choose comfort-focused care for a terminal illness. While most hospice services are covered at little to no cost, there may be small copayments for prescription drugs and respite care. Understanding how the Medicare hospice benefit works can help you and your family focus on comfort, support, and quality of life during a difficult time.

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Frequently Asked Questions

Does Medicare Part A cover hospice care?
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Yes.  Medicare Part A provides hospice coverage when a physician or hospice medical director certifies a terminal condition with a life expectancy of six months or less, and you choose comfort-focused care instead of curative treatment.   

What services are included in Medicare hospice care?
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Medicare-covered hospice care may include pain and symptom management, nursing care, medical social services, counseling and spiritual support, durable medical equipment, medical supplies, and short-term inpatient or respite care when needed.

Can I receive hospice care at home?
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Yes. Hospice care is most often provided in your home, but it can also be provided in other settings where you live, such as a nursing home, skilled nursing facility, assisted living facility, or hospice inpatient facility.

How much does Medicare hospice care cost?
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Most hospice services are covered at no cost under Medicare Part A. You may pay a small copayment (up to $5) for prescription drugs used for pain or symptom control, and up to 5% of the Medicare-approved amount for inpatient respite care.

Does Medicare cover treatments to cure my illness while I’m in hospice?
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No. When you choose hospice care, Medicare does not cover treatments intended to cure your terminal illness or related conditions. However, Medicare may still cover care for conditions unrelated to your terminal illness.

Can I leave hospice care if I change my mind?
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Yes. Hospice care is voluntary. You can choose to stop hospice care at any time and return to standard Medicare-covered treatments if your health goals or needs change.

How long will Medicare pay for hospice care?
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Medicare covers hospice care in benefit periods: two 90-day benefit periods followed by unlimited 60-day benefit periods, as long as a doctor recertifies your eligibility.

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Read more by Renee van Staveren

Since 2009, I've been writing about complicated, technical issues, with the goal of making topics like Medicare and healthcare easier to understand. I've been writing about Medicare since 2021 and healthcare since 2019. I am an AmeriCorps alumni. I enjoy gardening, reading, and DIYing.

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