Hospice of Laramie is a Medicare and Medicaid certified provider of care for patients who have been diagnosed with a terminal illness and, based on the medical judgment of their primary care physician, are felt to have six months or less to live. Hospice services are also covered by private insurance companies based on the insured’s coverage as outlined in their policy.
Patient Care Reimbursement Policy
At the time of admission, Hospice of Laramie takes on the responsibility of the patient’s medications, oxygen and medical supplies associated with the primary diagnosis. Billing for our services is outlined herein.
Medicare – If the patient receives care in the home and has Medicare, Hospice will bill Medicare direct for our services. No billing will be sent to the patient or the patient’s estate.
If the patient receives care in a skilled nursing facility, Hospice services are billed to Medicare for that care. However, the skilled nursing facility will have separate charges for room and board that will be billed to either Medicaid, a private insurance or to the patient/family for payment. No separate billing will be sent to the patient or the patient’s estate by Hospice of Laramie.
Medicaid – For a patient who receives care in their home and is on Medicaid, Hospice will bill Medicaid directly. No separate billing will be sent to the patient or the patient’s estate by Hospice of Laramie.
If a patient receives Hospice care in a skilled nursing facility and has both Medicare and Medicaid, Hospice services will be billed to Medicare, and room and board charges will be billed to Medicaid. No separate billings will be sent to the patient or the patient’s estate from Hospice of Laramie.
Private Insurance – If a patient has private insurance coverage, Hospice will bill the insurance direct. Any deductible and/or co-pay amounts, and/or non-covered services, will be billed to the patient or the patient’s estate by Hospice of Laramie.
Medicaid Waiver – Some patients receive home health care through Medicaid or the Medicaid Waiver Program and wish to be placed on Hospice simultaneously. When a patient is on the Medicaid Waiver Program and wishes to have both Hospice and home health, the Waiver Program will pay for both services and no billing will be sent to the patient or the patient’s estate by Hospice of Laramie.
Uninsured – Hospice of Laramie will not turn away anyone regardless of their ability to pay for services. However, the patient and/or family will be asked to complete a financial worksheet to which a sliding scale will be applied for billing purposes.