Hospice services are considered for payment if they meet the following criteria:
1. Physician certifies in writing that the patient is terminally ill and with a life expectancy of 6 months or less.
2. Patient receives hospice care at home.
3. Hospice care program offered by a Triple-S provider
4. Services included in the perdiem are the following:
a. House keeper
b. Health assistant
c. Grief assistance
d. Spiritual counseling
e. Nursing
f. Dietitian and nutrition counseling
g. Durable medical equipment
h. Acute Pain medicine (not maintenance)
i. Medical supplies
j. Social worker
This service does not limit insured’s free choice for hospital coverage as long as there is a medical necessity and admission criterion.
