Common use of Hospice Program Benefits Clause in Contracts

Hospice Program Benefits. Benefits are provided for services through a Par- ticipating Hospice Agency when an eligible Mem- ber requests admission to, and is formally admitted into, an approved Hospice program. The Member must have a Terminal Disease or Terminal Illness as determined by their Primary Care Physician‘s certification and the admission must receive prior approval from Blue Shield. Members with a Ter- xxxxx Disease or Terminal Illness who have not yet elected to enroll in a Hospice program may receive a pre-hospice consultative visit from a Participating Hospice Agency. A Hospice program is a specialized form of interdis- ciplinary care designed to provide palliative care, al- leviate the physical, emotional, social and spiritual discomforts of a Member who is experiencing the last phases of life due to a Terminal Disease or Ter- xxxxx Illness, and to provide supportive care to the primary caregiver and the Family of the Hospice pa- tient. Medically Necessary services are available on a 24-hour basis. Members enrolled in a Hospice pro- gram may continue to receive Covered Services that are not related to the palliation and management of their Terminal Disease or Terminal Illness from the appropriate provider. All of the services listed be- low must be received through the Participating Hospice Agency.