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What Is Covered
The plan pays 100% of eligible and allowable hospice care charges. The care must be received from a licensed Hospice Care Program provider. The patient must have a life expectancy of six months or less. Covered hospice care benefits include:
 | Physician visits.
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| Nursing services.
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| Medication.
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| Physical therapy.
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| Occupational therapy.
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| Pain management services.
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| Medical supplies and dressings.
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| Social and spiritual services.
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| Bereavement counseling. A covered provider must perform this service.
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| Skilled Nursing Facility care: For purposes of the annual limit of 120 days in a Skilled Nursing Facility, two days in a Skilled Nursing Facility will be considered as one day when the Skilled Nursing Facility stay is part of hospice care. For this benefit, you do not have to be admitted within 14 days of discharge from a Hospital or coordinated home care program.
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| Coordinated home care: For purposes of the limit of 120 coordinated home care visits a year, three coordinated home care visits will be considered one visit if the visits are part of hospice care. For this benefit, services do not have to begin within 14 days of discharge from a Hospital or Skilled Nursing Facility. |
Hospice care does not include durable medical equipment; home delivered meals; homemaker services; respite care; traditional medical services provided for the direct care of the terminal illness, disease or condition; or transportation.
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