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

HOUSEHOLD
SIZE 1 2 3 4 5 6 7 8
% OF
CHARGES
0% $23,340 31,460 39,580 47,700 55,820 63,940 72,060 80,180
10% $25,674 34,606 43,538 52,470 61,402 70,334 79,266 88,198
20% $28,241 38,067 47,892 57,717 67,542 77,367 87,193 97,018
30% $31,065 41,874 52,681 63,489 74,296 85,104 95,912 106,720
40% $34,172 46,061 57,949 69,838 81,726 93,614 105,503 117,392
50% $37,589 50,667 63,744 76,822 89,899 102,975 116,053 129,131
60% $41,348 55,734 70,118 84,504 98,889 113,273 127,658 142,044
70% $45,483 61,307 77,130 92,954 108,778 124,600 140,424 156,248
80% $50,031 67,438 84,843 102,249 119,656 137,060 154,466 171,873
90% $55,034 74,182 93,327 112,474 131,622 150,766 169,913 189,060
100% $60,537 81,600 102,660 123,721 144,784 165,843 186,904 207,966

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: 1/22/2014