Hospice Care

Hospice care is a covered benefit and provides palliative care for beneficiaries with a prognoses of less than six months to live if the terminal illness runs its normal course. Beneficiaries who elect to receive care under hospice cannot receive curative treatment related to the terminal illness unless the hospice care has been revoked. Beneficiaries under the age of 21 are exempt from this requirement and are eligible to receive hospice services concurrently with curative care. This allows continued coverage of medically necessary curative treatment, even after hospice services have been elected for beneficiaries under the age of 21. 

An approval is required for hospice care for all beneficiaries (excluding those with other health insurance). Approval requirements for curative care for beneficiaries under the age of 21 who have elected hospice vary by TRICARE plan type. Providers are required to submit a service and activity log for continued coverage of curative treatment. HNFS offers its Concurrent Hospice and Curative Care Monthly Service and Activity Log for your use.

There may be separate charges for durable medical equipment, prosthetics, and specific drugs with applicable copayments and cost shares. Room and board is not covered under hospice care unless the patient is receiving authorized inpatient or respite level of care. Learn more about hospice care within our Case Management program.

Providers can use our Request for Reimbursement of TRICARE Hospice Cap Amount when submitting claims. 
Cost Information