Payment/Eligibility/Reimbursement

Payment

Hospice & Palliative Care Partners of Ohio provides hospice services under private insurance, the Medicare Hospice Benefit and the Medicaid Hospice Benefit. Non-insurance/self- pay are accepted and subsidized as funding permits.

Eligibility

HPCPO care is made available when:

• Care is approved by a physician
• Patient desires hospice care
• Patient has a life expectancy
  of only months
• Treatment offered is palliative in nature
  rather than curative

Reimbursement Policy

• HPCPO accepts assignments for all Medicare and Medicaid patients
• HPCPO will bill all private insurance carriers when applicable – Aetna,
  Anthem, Medical Mutual, etc.
• All claims submitted to insurance carriers are subject to medical review
• If your private insurance carrier does not reimburse our services entirely
  (i.e. 80%, etc.), you will be sent a bill for the balance due. Your insurance
  company should supply an explanation of benefits directly to you.
• If you have no insurance coverage, our business office will contact you
  to discuss reimbursement of our services. You may be asked to complete
  a financial data form to assist us in setting appropriate fees for our services.
• Please feel free to contact our Business Office directly at (216) 931-1425
  if you have additional insurance questions.