TRICARE covers hospice care in the United States, District of Columbia, and U.S. territories. Hospice care isn’t covered overseas. TRICARE covers hospice care when:
- You, your primary physician, or authorized family initiates hospice care
- Your doctor orders hospice care.
- You first complete an election statement. Then, you’ll give the election statement to the hospice provider. And then, the hospice provider files the election statement with your regional contractor.
The TRICARE hospice benefit covers:
- Supportive services. This includes pain control and counseling services.
- Home health aide services
- Personal comfort items
Are services for an injury or unrelated condition covered? Yes. The regular TRICARE benefit covers injuries or unrelated conditions. For example, if you break a bone or have diabetes.
TRICARE doesn’t cover your room and board unless you're getting inpatient or respite care. If you cancel your hospice care, you may get other TRICARE services or benefits. If you’re under 21 years old, you may receive both. See “Concurrent Care” for more information.
The care for the illness isn’t covered by TRICARE unless the hospice provides or arranges for the care.
TRICARE provides hospice care in three benefit periods*:
- Period one: 90 days
- Period two: 90 days
- Period three: Unlimited 60-day periods
You’ll need pre-authorization for each benefit period. Each 60-day period requires recertification of your terminal illness. You’ll give up any remaining days in that period if you cancel your hospice care.
*If you’re under 21 and getting concurrent hospice services and curative care, these benefit periods don’t apply.
Levels of Care
The hospice benefit offers four levels of care:
- Continuous home care
- General hospice inpatient care
- Inpatient respite care
- Routine home care
What types of care are covered? Care within each level may include:
- Physician services
- Nursing care
- Medical equipment and supplies
- Medical social services
- Physical and occupational services
- Short-term inpatient care
- Speech and language pathology
Canceling Hospice Care
You can cancel your hospice care by submitting a signed and dated statement to your hospice care provider. You’ll lose any remaining days in that period when you cancel your hospice care. You may elect hospice coverage for any election period at any time.
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryClick to closeTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.
Last Updated 9/23/2019