About Hospice and Insurance Benefits

Hospice is an 100% covered benefit of Medicare for services related to the terminal illness or disease and pre-authorized by the Hospice team. Valor is an AHCCCS/ALTCS (Arizona's Medicaid Program for Long Term Care), VA, TRICARE provider accomodates most private insurance companies. We also offer additional payment options, including services for managed care (HMO, PPO, etc.) and private pay. In cases where no insurance is available, our services can be provided regardless of the patients ability to pay. All hospices, whether for-profit or non-profit, are paid the same amount for their services and to receive Medicare reimbursement, all hospice programs must meet certain standards of care.

In cases where no insurance is available, our services can be provided regardless of the patients ability to pay.

Valor HospiceCare & The Valor Institute for Palliative Medicine is licensed by the state of Arizona and is hospice certified for Medicare and AHCCCS/Medicaid, including participation with most insurance providers. Please click on the following website links for further information.

  

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General Patient Eligibility for Medicare and Insurance Benefits

· Patient must be eligible for Medicare Part A (the hospitalization benefit) and care   must be received from a Medicare-certified hospice program
· Medicare pays the entire cost of the covered services required to manage the   terminal illness, except the copayments for respite care and outpatient   prescription drugs and biologicals (these are both waived at Valor HospiceCare)
· Patient must have a terminal illness, the prognosis being 6 months or less. This   must be certified by 2 doctors, usually the patient's primary care physician and   the medical director of Valor HospiceCare
· Medicare will still pay for covered benefits for any health related problems that   aren't related to a patient's terminal illness
· Patient or family (if the patient cannot do so) must give informed consent
· Hospice benefits can also be obtained through private and for-profit insurance   policies
· Currently the benefits run for two periods of 90 days followed by an unlimited   number of 60 day periods. At the end of each period, the patient must have   benefits renewed. To be renewed, a patient must still have the terminal illness   and must manifest a functional decline
· The patient has the right to cancel hospice care at any time and return to   standard Medicare coverage, then re-elect the hospice benefit at a later date

More than 95% of Valor's clinical care is provided in the home setting of a patient. If patients need short-term acute or chronic symptom care beyond routine care in the home setting, Valor HospiceCare has arrangements with local Medicare-certified Skilled Nursing Facilities. Qualified, authorized facilities on our program are hand selected by our standards for their quality of care reputation and geographic convenience to our patients, caregivers and families. Valor is currently building inpatient centers to provide additional care in our communities.

When medically necessary, Medicare, Medicaid/AHCCCS and most plans cover inpatient or respite care. If a patient stays in an authorized Skilled Nursing Facility, or Valor Inpatient Center, beyond medical need, the cost of room and board become the responsibility of the patient and family. For further information, please contact us at 877.615.3996.

Please contact us today at 877.615.3996 or info@valorhospicecare.com for further information about our services and programs.

 

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