Medicare, Medicaid, private insurance, and self-pay.
At any time during a life-limiting illness, it’s appropriate to discuss all of an individual’s care options, including hospice. By law, the decision belongs to the individual. Understandably, most people are uncomfortable with the idea of stopping aggressive efforts to “beat” the disease. Hospice Savannah staff members are highly sensitive to these concerns and are always available to discuss these issues with the individual and their family.
Yes, we encourage you to continue seeing your primary care physician. Our team continues to communicate with your primary care physician while you receive care from us.
Most physicians know about hospice. You and your family should feel free to discuss hospice care at any time with your physician, other healthcare professionals, clergy, or friends. If your physician wants more information about hospice, it is available from the National Council of Hospice Professionals Physician Section, medical societies, state hospice organizations, or the National Hospice Helpline at 1-800-658-8898.
In addition, physicians and anyone else can obtain information on hospice from the American Cancer Society, the American Association of Retired Persons (AARP), and the Social Security Administration.
Yes, you and your family are in charge of your care.
Yes, it is your right to choose your advance directives—which are your options for care as you approach death. We do not require a DNR (Do Not Resuscitate) to be cared for by Hospice Savannah. Our staff is always available to discuss your future options.
One of the first things Hospice Savannah does is contact the patient’s physician to make them aware of your request. Hospice Savannah has full-time medical staff available to help patients who have no physician.
Our professionals will visit you and your family at home, in the hospital, or wherever you are to obtain authorization for hospice care. The individual will be asked to sign the consent and insurance forms. These are similar to the forms patients sign when they enter a hospital.
The “hospice election form” says the patient understands that the care is palliative—that is, aimed at pain relief and symptom control—rather than curative. It also outlines the services available. The Medicare form explains how electing the Medicare hospice benefit affects other Medicare coverage.
Certainly. If the patient’s condition improves and the disease seems to be in remission, patients can be discharged from Hospice Savannah and return to aggressive therapy or go about their daily life. If the discharged patient later needs to return to our care, Medicare and most private insurance will allow continuation of the hospice benefit.
Hospice Savannah will continue to provide the same care for you as long as you remain hospice eligible. You will not be given less service regardless of how long you are in our care. Some people live longer than their original prognosis once their pain and symptoms are under control.
Hospice Savannah patients are cared for by a team of physicians, nurses, social workers, counselors, certified nursing assistants, clergy, therapists, and volunteers. Each provides assistance based on their own area of expertise.
In addition, Hospice Savannah provides medications, supplies, equipment, and Hospice Inpatient Unit (HIPU) services related to the terminal illness, as well as additional volunteer helpers in the home if and when needed.
Hospice Savannah will assess your needs and help make arrangements to obtain any necessary equipment. Often, the need for equipment is minimal at first and increases as the illness progresses.
There is no set number. One of the first things our Hospice Savannah team will do is prepare an individualized care plan that will, among other things, assess the number and kind of services needed by the patient.
Hospice Savannah staff visit regularly and are accessible to help answer medical questions, provide support, and teach caregivers 24 hours a day, 365 days a year. After-hours visits are possible 24/7 as necessary.
In the early weeks of care, it’s usually not necessary for someone to be with the patient all the time. Later, however, since one of the most common fears of patients is the fear of dying alone, Hospice Savannah generally recommends that someone be there continuously.
While family and friends do deliver the care, Hospice Savannah can provide volunteers to assist with errands and provide a break and time away for primary caregivers. While no one from Hospice Savannah will move into your home, we will work with you to establish a frequency of visits from your Hospice Savannah care team members that meets your unique needs.
No. Although 90% of Hospice Savannah patient care is provided in patients’ own homes, some Hospice Savannah patients live in nursing homes or assisted living centers, while others can be cared for in Hospice Savannah’s 28-bed facility, the Hospice Inpatient Unit (HIPU).
Hospice Savannah believes emotional and spiritual pain are just as real and in need of attention as physical pain, so we address all types of pain. Hospice Savannah nurses and physicians are current on the latest medications and devices for pain and symptom relief.
In addition, our staff assists patients in being as mobile and self-sufficient as they wish. They are often joined by our specialists trained in music therapy, art therapy, massage, story keeping, and diet counseling.
Finally, various counselors, including chaplains, are available to assist family members as well as our patients.
Hospice neither hastens nor postpones dying. Just as doctors and midwives lend support and expertise during childbirth, Hospice Savannah provides its presence and specialized knowledge during the dying process.
Morphine and other painkillers do not hasten death. They are used in conjunction with other kinds of symptomatic relief to preserve and extend the patient’s quality of life.
Extremely high. Using some combination of medications, counseling, and therapies, most patients will attain a level of comfort that is acceptable to them. Please contact our Quality Assurance Officer, who can share our most recent patient satisfaction survey results.
No. While churches and religious groups have started hospices—sometimes in connection with their hospitals—Hospice Savannah serves a broader community and does not require our patients to adhere to any particular set of beliefs or religion.
Hospice Savannah provides continuing contact and support for caregivers for at least 13 months following the death of a loved one. Hospice Savannah also sponsors bereavement and support groups for anyone in the community who has experienced the death of a family member, a friend, or a similar loss.
Medicare Hospice Benefit: Medicare covers hospice care. Covered services include clinical visits, equipment, and supplies related to the terminal illness for the hospice patient. Please watch the video at the top of this page for more detailed information. We will contact the insurance provider and let patients know about any costs for which they are responsible.
Private Insurance: Many insurance policies cover most, if not all, hospice services. We will contact the insurance provider and notify the patient of any out-of-pocket costs and policy limitations, such as copays and deductibles.
Residential Status: Costs associated with living at Hospice Savannah’s Hospice Inpatient Unit (HIPU) are not covered by Medicare or most private insurance plans. Room-and-board care is needed when a patient’s medical condition is stable, but the patient is no longer able or does not wish to remain at home.
If placement in a nursing home or assisted living facility cannot be arranged, room-and-board fees are based on the patient’s ability to pay. Our social workers will assist patients and their families in securing financial assistance when needed, based on the availability of charitable funding.
The first thing Hospice Savannah will do is assist families in finding out whether the patient is eligible for any coverage they may not be aware of. Barring that, for individuals with no coverage, fees may be charged based on income and other financial information.
Please ask to speak to your social worker if you wish to have your financial situation assessed. With generous donations from the community and the United Way, services for individuals determined to have no ability to pay may be covered based on the availability of charitable donations.
Our goal at Hospice Savannah is to be in a position where we do not deny services to any patient due to a lack of funding.
Yes, of course. Hospice Savannah is a not-for-profit, community-based program. No one is denied our care based on their ability to pay or lack of insurance. Donations help us offset the costs associated with providing care to everyone who needs or desires it.
For more information about supporting Hospice Savannah, call the Hospice Savannah Foundation at 912-629-1055 or visit the Hospice Savannah Foundation’s “How You Can Help” webpages.
