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Usually non medical profession, but they provide continuous physical, emotional and spiritual support and collaborate between patient and the hospice case manager.

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I work with Medicare patients frequently and I have never heard of them covering a service like this. They do cover hospice, they do not cover home services unless there is a skilled need, like PT or wound care. They do not cover long-term care or memory care but they will pay for so many days of rehab stay per year. In my opinion, it's pretty crappy coverage.
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Imho, no, unfortunately not.
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My typing and spell check have gone off the rails.
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NeedHelpWithMom Oct 2020
I have that situation too! iPhone, I have the newest model. Grrrrrr
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Medicare does not have the funding for home care. Costs for home care would make premiums out of reach for Social Security.recipients.

Doulas are an add-on to care. If a person wants these type of services, they should prep lab for these added costs. And pre-Manning for home care should also be done.
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I VERY MUCH wish that home care is covered by Medicare. It is expensive! OMG!!!
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mally1 Oct 2020
In our state Medicaid pays for varying amounts of homecare if the person qualifies. My mom has several hours a week of help, including housework and laundry, plus a weekly nurse; right now wound care nurse 2x a week. She's on a Medicaid waiver; also pays for many needed accessories. The helpers come for an hour 2x, and 3 hours once. Along with the twice a day, 20 minutes each time, helper that she pays for, she has eyes on her 7 days a week, which is a comfort to me.
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As Worried said Medicare does not pay for in home aides but a Medicare Advantage may. I think I remember an advertisement saying that and thinking that was a plus on MA side. So check to see if the person has straight Medicare and supplimental or a Medicare advantage where the two are combined.
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Hospice pays for a Nurse to check on patient 3x or so a week. An aide comes in about as many times to bathe the client. Family does most of the work. Nurse should be on call 24/7. There is grief counselling. Medicare pays for prescriptions, diapers, wipes and durable equipment. Like a hospital bed, oxygen, etc. If the family cannot be there 24/7 then they need to hire aides.
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Middlekid60 Oct 2020
Yes I have some experience with hospice. They were wonderful! Everything was paid for and the aids were very gentle with my sister-in-law and came in and bathe her twice a week. I did most everything else but just having them there and available made all the difference for me anyway. By then my sister-in-law was very weak and could not hardly even get up and out of the bed. She had a hospital bed which was very helpful that they provided. But one morning when she woke up she could no longer swallow her medication. I made one phone call and they were there within an hour picking her up and taking her to in hospital hospice care. She said when I could no longer get her to swallow that was the qualification that she needed skilled nursing care. She passed five days later in the hospice center.
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No. Medicare will not pay for a doula. It makes NO difference if the doula works for the hospice provider either. It’s a service, extra layer of support, that is not covered by Medicare.
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If they belong to hospice then they will be covered by hospice, but this is what hospice itself is. So I think someone who is a "Doula" would be paid for by the family, not medicare. This is generally not someone who is licensed unless I am mistaken, or a medical care person. It is kind of a loosely defined "job description".
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No these providers are not paid at this time by Medicare or Medicaid.
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