Common use of Hospice Services Clause in Contracts

Hospice Services. Hospice care involves palliative care to terminally ill Members and their families with such services being centrally coordinated through a multi-disciplinary team directed by a Physician. Most hospice care is provided in the Member’s home or facility that the Member has designated as home. (i.e. Assisted Living Facility, Nursing Home, etc.) All eligible hospice services must be billed by the hospice provider. Benefits for hospice care include the following services provided to a Member by a hospice provider responsible for the Member's overall care:  Professional services provided by a registered nurse or licensed practical nurse;  Palliative care by a Physician;  Medical and surgical supplies and durable medical equipment;  Prescribed drugs related to the hospice diagnosis (drugs and biologicals);  Oxygen and its administration;  Therapies (physical medicine, occupational therapy, speech therapy);  Medical social service consultations;  Dietitian services;  Home health aide services;  Family counseling services;  Continuous Home Care provided only during a period of crisis in which a patient requires continuous care which is primarily nursing care to achieve palliation or management of acute medical symptoms; and  Inpatient services of an acute medical nature arranged through the hospice provider in a hospital or skilled setting to address short-term pain and/or symptom control that cannot be managed in other settings. The member is not eligible to receive further hospice care benefits if the member or the member's authorized representative elects to institute curative treatment or extraordinary measures to sustain life. Benefits for Covered Hospice Services are provided until the earlier date of your death or discharge from Hospice Care.

Hospice Services. Hospice care involves palliative care to terminally ill Members and their families with such services being centrally coordinated through a multi-disciplinary team directed by a Physician. Most hospice care is provided in the Member’s home or facility that the Member has designated as home. (i.e. Assisted Living Facility, Nursing Home, etc.) All eligible hospice services must be billed by the hospice provider. Benefits for hospice care include the following services provided to a Member by a hospice provider responsible for the Member's overall care:  • Professional services provided by a registered nurse or licensed practical nurse;  • Palliative care by a Physician;  • Medical and surgical supplies and durable medical equipment;  • Prescribed drugs related to the hospice diagnosis (drugs and biologicals);  • Oxygen and its administration;  • Therapies (physical medicine, occupational therapy, speech therapy);  • Medical social service consultations;  • Dietitian services;  • Home health aide services;  • Family counseling services;  • Continuous Home Care provided only during a period of crisis in which a patient requires continuous care which is primarily nursing care to achieve palliation or management of acute medical symptoms; and  • Inpatient services of an acute medical nature arranged through the hospice provider in a hospital or skilled setting to address short-term pain and/or symptom control that cannot be managed in other settings. The member is not eligible to receive further hospice care benefits if the member or the member's authorized representative elects to institute curative treatment or extraordinary measures to sustain life. Benefits for Covered Hospice Services are provided until the earlier date of your death or discharge from Hospice Care.