
Healthcare Professionals


Resources for Professionals

When a patient/caregiver decides that the focus of care is now palliative and not curative their loved one may be eligible for hospice services. The team at Enlight can help guide you through this process. Required eligibility includes:
A diagnosis with a life expectancy of 6 months or less if the disease runs its normal curse.
The patient’s doctor and hospice medical director certify that the patient is terminally ill with a life expectancy of 6 months or less.
Consider Hospice if a patient meets 2 or more:
Recurrent falls
Decreased tolerance in physical activity
Progressive weight loss in 6 months
Shortness of breath or fatigue at rest/minimal exertion
Recurrent infections
Repeat ER visits or hospitalizations
Uncontrolled symptoms such as pain, nausea, & shortness of breath
Increase time sleeping
Decrease in cognitive ability
Medicare A & Managed Medicare plans: Cover hospice at 100% of allowable services. Medicaid coverage varies by state; typically covers at 100% of allowable services.
Managed Medicaid Plans: Prior authorization is needed for hospice. Reimbursement varies by plan.
Private Commercial Insurance plans: Coverage Varies. Benefits must be verified Individuals who do not have Medicare but have coverage from private insurance should contact their health plan directly for specific details on hospice care, including what the patient’s plan will cover and which out-of-pocket costs the patient and their family may be responsible for. Medicaid provides coverage, but it varies by state.
Our team of advanced illness experts provide an elevated dedication to every patient's care, taking into account his or her changing physical, emotional and spiritual needs. Our ultimate goal is to support both our patients and their loved ones while honoring their wishes and ensuring comfort. We achieve this goal by utilizing our extensive experience in end-of-life care and finding creative solutions to any complication that may arise.

