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How is hospice paid for?

Hospice is an affordable health care option. Services are paid for in a variety of ways:

  • Medicare. The Medicare Hospice Benefit covers all medications, equipment, supplies and care related to the terminal diagnosis. Hospice of the Red River Valley waives fees related to prescriptions or inpatient respite care outlined in the  benefit. Medicare payments to hospice do not interfere with Medicare payments for other illnesses or conditions.
  • Medicaid. Both Minnesota and North Dakota offer hospice coverage under Medicaid. Like Medicare, Medicaid covers all medication, equipment and supplies related to the patient’s hospice diagnosis. Recipient liabilities (spend-downs) remain the patient’s responsibility.
  • Private Insurance. Many private insurance plans offer a hospice benefit. In most cases, the coverage is similar to the Medicare benefit. Deductibles, co-pays and spend-downs are also the patient’s responsibility.
  • Veterans Administration (VA) Benefits. If the patient is enrolled to receive health services from the VA, he or she is eligible for hospice care through the VA.
  • Private Pay. If insurance coverage is unavailable or insufficient, we can discuss options for patients to pay for hospice services. With Hospice of the Red River Valley, no patient is denied services due to an inability to pay.
  • No Form of Payment. Hospice of the Red River provides hospice services to anyone who meets the medical guidelines, even if they have no form of payment.


We have an insurance specialist who will contact the patients’ providers to ensure they receive the benefits to which they are entitled.

We can provide answers to the common questions you might have: