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Hospice Myths and Facts

Myth
Fact
Medicare provides only 6 months of hospice care, so enrollment should be delayed as long as possible.
Medicare law does not time limit the hospice benefit, but Medicare regulations and their interpretations often discourage longer lengths of stay. Patients may enroll when their physician and the hospice medical director judge that the illness is terminal, with an estimated life expectancy of 6 months or less.
All hospice care is the same.
Even in the community, hospices may vary markedly; especially in the kinds of treatment patients can receive.
Hospice means giving up hope.
Hospice workers help people die.
Hospice workers help people revise what they may hope for and help them achieve comfort when death is inevitable. They do nothing to hasten or prevent death.
Hospice is useful only for heavy-duty pain medications.
Hospice care is designed to provide not only medical care but also social, psychological, and spiritual support given by an interdisciplinary team that include a nurse, social worker, chaplain, and other professionals.
You can't keep your own doctor on admission to hospice.
Most hospices establish working relationships with a wide base of referring physicians so that patients can keep their own doctors on admission to hospice care.
Hospice is only for cancer patients.
Individuals who die from cancer are more likely to choose hospice care than are those who die from other conditions, but hospice care is now available to an increasing number of terminally ill patients with non-cancer diagnoses, such as congestive heart failure and chronic lung disease.
Hospice is only for the sick
family member.
Hospice is designed to support all family members during the illness and to offer at least 1 year of bereavement support after death.
Hospice is a place, so you must
leave home to receive hospice.
In America, most hospice care is delivered in the home, though inpatient care is generally available (in hospitals, nursing homes, and special settings) to serve those with no at-home caregiver, and those whose total care is overwhelming to families.
Hospice is expensive.
In general hospice costs less than hospital or nursing home care and saves significant money for Medicare.


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