If Mom goes on hospice will we still pay privately or will Medicare pick it back up due to hospice care?

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Mom is in a nursing home. Currently, we are private pay as Medicare days are spent. Just found out her cancer may have returned. Will know in two weeks. She has said if it is back she is not having any treatment. My question is if she goes on hospice will we still pay private or will Medicare pick it back up due to hospice? We aren't able to pay privately past January. We were planning on applying for Medicaid, But hospice may be more beneficial to her at this point.

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It is true that Medicare will only pay for Hospice services in a nursing home; not room and board.
If, however, Hospice services are being delivered in a free-standing Hospice facility or in a dedicated portion of a hospital, Medicare will pay the full cost of care including room and board.
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Reply to Ralph Robbins
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Kannie Aug 14, 2018
So if I moved her to a hospice facility they would then pay?
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Medicare will not pay for the residential portion of the bill. It will pay for all hospice related expenses. So, yes apply for Medicaid now.
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Reply to gladimhere
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Kannie Aug 12, 2018
So what will they pay for once on hospice?
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I would apply for Medicaid now, ASAP. Whether she goes on Hospice or not, when her funds run out you’ll need to have Medicaid already in place. The NH can help you apply.
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Ombudsman1 Aug 14, 2018
This can be very tricky. If she applies for Medicaid and she is not eligible (maybe she has more resources than allowable) she will get denied and have to reapply anyway. It is best to consult with an elder law attorney. There is so much misconception over medicaid that money to an elder law attorney can be money well spent.
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Medications if not life sustaining, hospital bed, nurse once a week, CNA daily. Social worker, counseling for family. Call hospice and ask what services are covered. There are many.
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Reply to gladimhere
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Seems like there is a common misunderstanding here - to a layperson, "Medicare will pay" would be interpreted that no more bills come in, period.  But to Medicare - we will cover HOSPICE costs, but NOT ROOM AND BOARD if in a facility. So then those costs have to be paid, by insurance, by family, etc.   Huge difference financially!
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It sounds like she had been in the hospital and then went to skilled care for rehab. So Medicare does pay for 60 days ( or whatever their number is) and then it becomes private pay if you don’t go home. If she stays in the skilled care facility on hospice, Medicare pays for hospice but not the room and board as others have stated.
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The Hospice that I used, and volunteer for/with is a Not for Profit Hospice.
As far as I know Respite is covered, In home care is covered (and if a person is in a facility they are covered but Hospice does not pay for the facility)
Equipment is covered, supplies are covered. I had a Nurse in the house 1 time a week, a CNA came in 3 times a week (early on it was 2 times a week but it was increased as my Husband declined) I had a Social Worker 1 time a month and a Chaplain was available as well. (I also had the option of having many different therapies music, massage, art...but none of those would have helped my Husband) All of these were covered by Hospice through Medicare.
Had we not had Medicare or any other insurance this particular Hospice does not turn ANYONE away due to the inability to pay for services.
Each Hospice, just like any other business operates independently. Call and interview the Hospices in your area and determine what one will work best, what one will help you and your Mom.
Apply for Medicaid, the Social worker at the facility where she is now may be able to help, Hospice might be able to help with the application process as well.
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Reply to Grandma1954
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My mom is with Hospice. She does live with me and my husband. Hospice pays for her hospital bed, transport chair, bedside commode. As far as supplies, they bring Chux pads and disposable briefs. You have to purchase flushable wipes and hand wipes. Disposable gloves also. Although the nurse and health aide usually have those. A nurse comes once a week, as well as a pastor, aide and counselling being offered. We have a home health aide that comes when we are at work who is Private Pay.
Medicare, who pays hospice, also covers her medications. So, they are truly a blessing! I do know that if you're in a hospice facility, Medicare does not cover the room & board.
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Reply to ambly02
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Hi Kannie - so sorry to hear this.... I am not sure of the answer, but was wondering why "Medicare" is "spent"....  Can you max out or something?
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Ombudsman1 Aug 14, 2018
Yes!!! Medicare only covers a limited number of days. You can go to www.medicare.gov to find out more information.
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My FIL was moved to a hospice facility (from the hospital) in June, and we were told Medicare would pay 100%, that his supplemental policy wouldn’t even have to kick in. He died 5 days later. So far we haven’t gotten a bill. Check with hospice in your area and see what they cover so you'll know for sure and help to avoid confusion.
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