How Does Hospice Work if I Have a Medicare Advantage Plan?Hospice care is always covered under Original Medicare, even if you have a Medicare Advantage Plan. After electing hospice, care related to your terminal illness will follow Original Medicare’s cost and coverage rules.

While you cannot receive curative care for symptoms related to your terminal illness, Medicare will cover treatment for unrelated conditions. For example, if you have elected hospice because you have terminal cancer and you fall and break your hip unrelated to the cancer, and meet other requirements, Medicare would cover the physical therapy you need for the broken hip. If you have a Medicare Advantage Plan and need care unrelated to your terminal condition, you can choose to either see providers in your plan’s network or see Original Medicare providers.

  • When seeing Medicare Advantage providers, you should follow your plan’s coverage rules, including seeing in-network providers. You should owe your usual Medicare Advantage cost-sharing.
  • If you see Original Medicare providers, you will pay the Original Medicare cost sharing.

Your Medicare Advantage Plan or Part D plan should also cover prescription drugs unrelated to your terminal condition, and the plan’s cost and coverage rules will apply.

Your Medicare Advantage Plan will also continue to cover any additional benefits it provides, such as vision or dental services.

Read Next: How are Drugs Covered Under Hospice?
Learn About: Does Medicare Cover Skilled Nursing Facility (SNF) Care Under The Hospice Benefit?
Return to: Medicare In-Depth

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This content was created and copyrighted by the Medicare Rights Center ©2019. Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities. These materials are presented here with support from YourMedicare.com and may not be distributed, modified or edited without Medicare Rights’ consent.