Financial Responsibility

Financial Responsibility for Hospice Care

Hospice Care is a fully-funded benefit for all Medicare Part A recipients and for all Medicaid recipients. That means if a patient has Medicare Part A or Medicaid, the hospice services related to the primary diagnosis for hospice care will be paid in full.

Most private insurances also provide a hospice benefit. The terms of the hospice benefit will vary at times from insurance provider to provider, but Hospice of Washington County, Inc. will be able to help anyone needing help to decipher what coverage their insurance provides.

For anyone who does not have an insurance provider for medical coverage, hospice care can be paid privately. A private pay hospice patient will be asked to provide some basic financial documentation; the information will be applied against a sliding fee scale using Health and Human Services Poverty guidelines. Upon admission to hospice care, the patient/family will learn what percentage of care will be billed to them. If a patient does not qualify for full charity care and is unable to bear the cost of services, a time payment plan can be negotiated on a case by case basis.

As has been Hospice of Washington County’s policy since its founding, no one will be turned away from hospice care due to an inability to pay. Each year the generous residents of Washington County donate to the care of patients who have limited or no ability to pay for their hospice care. The provision of these funds allow Hospice of Washington County, Inc. to offer the full range of hospice services to everyone who needs hospice care in this county.

Any questions regarding how to pay for hospice services can be answered by calling
301-791-6360. No one should hesitate to seek help due to financial concerns.

HOSPICE OF WASHINGTON COUNTY, INC.
SLIDING FEE SCALE FOR UNINSURED/UNDER-INSURED PATIENTS

Charity Care and Fee Scale (As of 2/10/17)

HOUSEHOLD
SIZE 1 2 3 4 5 6 7 8
% OF
CHARGES
0% $24,120 32,480 40,840 49,200 57,560 65,920 74,280 82,640
10% $26,532 35,728 44,924 54,120 63,316 72,512 81,708 90,904
20% $29,185 39,301 49,416 59,532 69,648 79,763 89,879 99,994
30% $32,104 43,231 54,358 65,485 76,613 87,739 98,867 109,993
40% $35,314 47,554 59,794 72,034 84,274 96,513 108,754 120,992
50% $38,845 52,309 65,773, 79,237 92,701 106,164 119,629 133,091
60% $42,730 57,540 72,350 87,161 101,971 116,780 131,592 146,400

70% $47,003 63,294 79,585 95,877 112,168 128,458 144,751 161,040
80% $51,703 69,623 87,544 105,465 123,385 141,304 159,226 177,144
90% $56,873 76,585 96,298 116,012 135,724 155,434 175,149 194,858
100% $62,560 84,244 105,928 127,613 149,296 170,977 192,664 214,344

Patients without insurance are billed on a per-visit, per-item basis, and sliding fee discounts are applied to
those charges. Patients whose insurance requires co-payments are also eligible for consideration.

Effective date: 2/10/2017

HHS Poverty Guidelines 2017

1 – $12,060

2-$16,240

3-$20,420

4-$24,600

5-$28,780

6-$32,960

7-$37,140

8-$41,320

https://aspe.hhs.gov/2014-poverty-guidelines