Reply to Hospice Care expectations and cost in MD

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Your post makes no sense.  He should qualify for home hospice but hospice provides general support and not 24/7 care.  There are some facilities, like Montgomery Hospice that have their own in-patient facility but it sounds like you need a full care nursing home and those can run $12k+ a month.  16K sounds a bit high.  What happens is he goes into a regular nursing home.  There isn't a huge amount of care - maybe bathing 2 times a week (but hospice can send someone in to bathe more frequently) at most of these facilities.  You have to bring in a private CNA for more care.  Hospice just supervises things, gives support for the family and patient and provides a few services like a nurse to do check ups, medication reviews, and comfort care.[/quote]

If his life expectancy is really ten months, wouldn't he not qualify?  I think it has to be six months or less.[/quote]

Apply and let hospice decide.  There has to be a steady decline, which there may be to qualify.  It is hard to predict.  My MIL got hospice and I was surprised.  Worst case, you do an assessment and they say it's not time.  Montgomery Hospice decided it for us and when MIL got better thanks to their support, they pulled out (and then she passed quickly after that as the quality of care in the nursing home was bad and even worse without their help).  Medicare pays for hospice.  It's free to the patient, so there is no harm in applying and seeing what they help with.  For us, it was advocating at the nursing home, medication management, getting in additional supplies she needed, providing us with end of life guidance (and take the pastor even if you aren't religious as they are a wealth of knowledge and they were very respectful to our beliefs and no religion was involved), 1-2 time a week extra bathing (forget how often), etc.

But, on top of that you'd still need skilled nursing and that should probably be around $12K, $16K sounds very high but its been a few years since I dealt with it.[/quote]

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