Honoring Life With Dignity and Comfort

OUR HOSPICE SERVICES INCLUDE:

• Nurse visits

• Certified nurse aide visits to assist with personal care

• Physician and nurse on call 24 hours a day, 7 days a week

• Social worker assists with community resources, mobilizing support and counseling

• Chaplain provides faith-based spiritual support

• Volunteers visit or provide caregiver breaks

• Speech, physical and occupational therapists available as needed

• Counseling services — spiritual and dietary therapy

• Homemaker visits

• Bereavement Services

AT TRM HOSPICE WE OFFER FOUR LEVELS OF HOSPICE CARE:​

1. ROUTINE HOME CARE
   Hospice care at home, or routine hospice care, is the most common level of care in hospice. A person may choose this level of care when they do not require continuous hospice care. Usually, this means they are not in crisis — they are stable and can control their symptoms. People may receive routine hospice care in their home and not in an inpatient facility.
2. GENERAL INPATIENT CARE
   • Temporary inpatient care in a hospital or care facility, when necessary, to treat pain or other acute symptoms, when routine home care or continuous care is not sufficient
   • A team member coordinates care with hospital staff
   • Aimed at making the patient comfortable then transitioning back to home setting
   • Includes daily visits by a team member to ensure services are provided according to hospice plan of care
3. INPATIENT RESPITE CARE

   • Allows for the patient to be placed in an inpatient setting for up to five days to give family/caregiver relief and prevent caregiver fatigue

   • Hospice will coordinate care with inpatient team to ensure continuity of care

4. CONTINUOUS CARE
   • One-on-one nurse and nurse aide care provided in the home setting during brief periods of crisis for pain control and acute symptom management
   • Continuous hospice care focuses mainly on continuous nursing care, though a person also may receive homemaker services, hospice aide, or both.
   • A patient may receive continuous hospice care in their home and not an inpatient facility.
   • Typically, continuous hospice care is available only during short periods of crisis and only as necessary to keep the person at home.
   • Someone may require continuous hospice care if their pain or symptoms become uncontrollable.

WHICH LEVELS HAVE MEDICARE COVERAGE?

People with Medicare Part A can receive all four levels of hospice coverage as long as:

• they choose a Medicare-certified hospice

• a doctor certifies they have a terminal illness with a medical prognosis of 6 months or less

• they elect the hospice benefit and waive their rights to Medicare payments

However, they may be responsible for a coinsurance payment, such as :

• Medication: The coinsurance for each prescription approximates 5% of the drug’s cost, but it will not exceed $5 per prescription. This includes palliative drugs and biological prescriptions .

• Respite care: The coinsurance for each respite care day is equal to 5% of what Medicare pays hospice for that day. It will not exceed the inpatient hospital deductible.