Resources
What Families Need to Know
Helpful information to understand hospice eligibility,
coverage, and next steps.
What You Need to Know
About Hospice
When considering hospice care, families often have questions about eligibility, insurance coverage, and how to begin services. This page provides clear information to help you understand when hospice care may be appropriate and how to move forward.
Eligibility
When hospice care may be appropriate.
Patients may be eligible for hospice care when a physician determines that life expectancy is six months or less if the terminal illness follows its normal course. The patient must be under the care of a physician, and admission to hospice requires a physician’s order.
Eligibility is based on medical condition and clinical determination.
Eligible diagnoses include, but are not limited to:
- ALS (Amyotrophic Lateral Sclerosis)
- Alzheimer’s Disease
- Cancer
- Com
- Congestive Heart Failure (CHF)
- Chronic Obstructive Pulmonary Disease (COPD)
- Dementia
- Heart Disease
- HIV/AIDS
- Kidney Disease
- Liver Disorders
- Lung Disease
- Neurological Diseases
- Parkinson’s Disease
- Respiratory Disorders
- Stroke
Payment & Insurance
Understanding hospice coverage.
Hospice care is covered by most insurance plans, including Medicare, Medicaid, and private insurance. Coverage typically includes hospice services related to the terminal diagnosis.
If insurance coverage is not available or is insufficient, patients and families may choose to pay for services out of pocket.
Our team is available to help answer questions about coverage and benefits.
Hospice Referrals
How to refer a patient for hospice care.
Physicians and healthcare providers may refer patients to ProHealth for hospice services by fax or email.
Referral Details
Fax: (844) 358-0261
Email: admissions@prohealthgroup.com
Once a referral is received, our team will review the information and follow up within 24 hours to gather any additional details needed and coordinate next steps.