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]

I’m surprised he did not qualify, with the diagnosis and symptoms you describe. How can they really predict he has 10 months to live, versus 6? He seems like an appropriate candidate for hospice.

Regardless, home hospice does not provide caregiver support; they are focused on pain management and comfort care for patients who have made the decision to suspend curative treatment. The patient/family needs to pay privately for a home health aide or private duty caregiver, because it’s not covered by Medicare, even for end-of-life patients. Inpatient hospice is a short-term situation for patients whose death is imminent, or they require clinical care (but not curative) that cannot be managed at home.

If your FIL goes to a nursing home or assisted living/group home, he can receive home hospice services there (since it would be considered his home). So you can keep him home and pay for however much care he needs, or find a placement.

This does not really answer your question, I’m realizing. 16k a month sounds expensive. Does he need an assisted living, or nursing home?

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