Hospice care not covered under Medicare Optum

[Pluperfect]

If the crisis is unrelated, like if someone is dying from cancer but choking on a chicken bone or cut a major artery while slicing a bagel, then the paramedics would do the Heimlich or stop the bleeding, and follow up care for that could be done.

And while Original Medicare provides the hospice benefit/coverage for people whether they're on Original Medicare or an Advantage plan, care received for choking on a chicken bone or cutting a major artery will not be covered by any hospice benefit--it will be covered by the person's Original Medicare (plus supplement, if any) or the person's Advantage plan, if he has that instead of Original Medicare.

 

[RetMD21]

I suspect that your mother is on the lucrative Medicare post hospitalization benefit. The facility gets paid by her MA plan according to how intensively they rehab her. That probably conflicts with the concept of hospice. Even with traditional Medicare requires bona fide rehab for that program. I agree with keeping her comfortable either where she is or at a nicer facility if transfer is feasible.

 

[51togo]

My mom passed away during the Christmas holidays. All of us, my brother and sister were with her at the last moment. Thankfully we never did move her to a hospice facility, nor able to find out more on the Optum plan coverage. I never gotten the Medicare nor SS# from my sister to make an inquiry. Nevertheless I missed her a lot, we are planning funeral arrangements and as I’m writing the obituary I’ve learning a lot of her childhood via my aunt overseas. I got into a big fight with my sister 8 years ago when my dad passed, I’m trying to be as nice, courteous, and respectful on any disagreements. Fortunately, mom already pre planned her arrangements with Rosehill, this lead me to my own immortality where my living trust was done in 2011 before my twin daughters got married and should be reviewed and updated. Appreciate everyone’s input ! Thank you !

 

[Koolau]

I'm sorry for your loss. It sounds like your final memories will be good. You did what you could for your mom and the family was together with her. Blessings.