HOSPICE CARE SERVICES. The Plan provides Benefits for Hospice Care to Members diagnosed as having a terminal illness by a Provider with a life expectancy of less than twelve months. The Hospice plan of care will focus on palliative rather than curative treatment for the terminally ill Member. The care approach is holistic and interdisciplinary. Your Provider and hospice medical director must certify that you are terminally ill and likely have less than twelve months to live. Your Provider must agree to care by the hospice Provider and must be consulted in the development of the care plan. The hospice Provider must keep a written care plan and provide it to Health Options upon request.
HOSPICE CARE SERVICES. Services rendered by a Home Health Care Agency or a Hospital program for Hospice Care for which benefits are available as follows:
HOSPICE CARE SERVICES. See the Prior Authorization Amendment for Covered Services that may require prior authorization.
HOSPICE CARE SERVICES. See Section 15, Utilization Management, for Covered Services that require prior authorization.
HOSPICE CARE SERVICES. Hospice Care Services are for terminally ill Members. If a Plan Physician diagnoses you with a terminal illness and determines that your life expectancy is six (6) months or less, you can choose hospice Services through home or inpatient care instead of traditional Services otherwise provided for your illness. We cover Hospice Care Services in the home if a Plan Physician determines that it is feasible to maintain effective supervision and control of your care in your home. We cover Hospice Care Services within our Service Area and only when provided by a Plan Provider. Hospice Services include the following:
HOSPICE CARE SERVICES. If You become Terminally Ill and You receive care provided by a Hospice, We will pay: • The Eligible Charges of the Hospice; up to • The Home and Community-Based Care Monthly Maximum amount for each calendar month of care. • Provided that You meet all of the requirements of the Eligibility For The Payment Of Benefits provision of the Policy. The Elimination Period does not apply to this Benefit, and the days on which We pay benefits under this Benefit do not count toward satisfying the Elimination Period. Any amounts We pay for Hospice Care will count toward the Policy Lifetime Maximum Benefit.
HOSPICE CARE SERVICES. For the purpose of this Benefit, "hospice care services" means the following items and services provided to a terminally ill Covered Person by, or by others under arrangement made by a Hospice Program under a written plan (for providing such care to such Covered Person) established and periodically reviewed by the Covered Person's attending Physician and by the Medical Director.
HOSPICE CARE SERVICES. Hospice benefits cover inpatient and outpatient services for patients certified by a Physician as terminally ill. Your Contract provides Covered Services for inpatient and outpatient Hospice care under certain conditions as stated in the Summary of Benefits and Coverage’s. The Hospice treatment program must: • Be recognized as an approved Hospice program by Alliant; • Include support services to help covered family members deal with the patient’s death; and • Be directed by a Physician and coordinated by an RN with a treatment plan that: o Provides an organized system of home care; o Uses a Hospice team; and o Has around-the-clock care available. The following conditions apply: • To qualify for Hospice care, the attending Physician must certify that the patient is not expected to live more than six months. • The Physician must design and recommend a Hospice Care Program; and • The Physician’s statement and recommended program should be Pre-Certified.
HOSPICE CARE SERVICES. If You become Terminally Ill and You receive care provided by a Hospice, We will pay:
HOSPICE CARE SERVICES. The Plan provides Benefits for Hospice Care to Members diagnosed as hav ing a terminal illness by a Provider with a life expectancy of less than twelve months. The Hospice plan of care will focus on palliative rather than curative treatment for the terminally ill Member. The care approach is holistic and interdisciplinary. Yo ur Provider and hospice medical director must certify that you are terminally ill and likely have less than twelve months to live. Your Provider must agree to care by the hospice Provider and must be consulted in the development of the care plan. The hos pice Provider must keep a written care plan and provide it to Health Options upon request.
