Includes bereavement and respite care. Hospice care services, including pre-hospice evaluation or consultation, are covered when the member is terminally ill and expected to live 6 months or less, potentially curative treatment for the terminal illness is not part of the prescribed plan of care, the member or appointed designee has formally consented to hospice care (i.e., care directed mostly toward palliative care and symptom management) and the hospice services are provided by a certified/accredited hospice agency with care available 24 hours per day, 7 days per week.
The following levels of hospice care services are covered when the above criteria have been met:
Preauthorization by medical plan is required.
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