Generally hospice costs less than care in hospitals, nursing homes, or other institutions for one basic reason: in those facilities you are charged each day for all general services such as nursing, food services, and basic medical supplies. With hospice you pay only for the services you or your family cannot provide.

Some services such as Meals on Wheels, friendly visiting, and telephone reassurance usually operate at little or no cost because of volunteer help.

Insurance coverage for hospice care is available through Medicare, Medicaid, and most private insurance plans. The patient and family should discuss payment options with the physician and hospice staff.