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Co-payments (home health care and hospice care)

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If you qualify for home health services (see Chapter 2), Medicare pays a home health agency for your care; you pay nothing. If you need or want a service that isn’t covered under the agency contract, you have to pay for it yourself — either in full or as a regular 20 percent Part B co-pay (see the later section “Part B costs”).

If you receive hospice services from a Medicare-approved agency (see Chapter 2), you pay almost nothing for this care. Two exceptions exist:

 If you need prescription drugs to control the symptoms, such as pain, of your terminal illness, you pay up to $5 per prescription.

 If you need to enter a nursing home for a short time so that your caregiver can catch a break, you’re expected to contribute 5 percent of the cost.

Medicare For Dummies

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