Home › Care at home › Hospice & palliative care
Hospice and palliative care: comfort-focused help
When the goal shifts from cure to comfort, hospice brings a whole team to you -- and Medicare covers nearly all of it. Here's the plain difference between hospice and palliative care, what Medicare pays, and the local nonprofit hospices that serve all three counties.
Last reviewed: August 10, 2026
The short version:
- Hospice is comfort care for a terminal illness (about six months or less), focused on quality of life, not a cure.
- Medicare pays almost all of it. Most hospice services cost $0, with only tiny copays (up to $5 per comfort drug, 5% for short respite stays).
- Palliative care is different. It eases symptoms for any serious illness, at any stage, and can run alongside treatment meant to cure.
- You're in control. You can start hospice, pause it, or leave and return -- it's your choice.
- Local nonprofit hospices serve all three counties, mostly right in your own home.
Common questions
- Does Medicare pay for hospice?
- Yes. With Medicare Part A and a doctor's certification of a terminal illness, Medicare covers hospice with $0 for most services. You may pay up to $5 per comfort prescription and 5% for short inpatient respite.
- What's the difference between hospice and palliative care?
- Both focus on comfort. Palliative care is for anyone with a serious illness, at any stage, and can happen alongside curative treatment. Hospice is comfort care once curative treatment has stopped and the prognosis is about six months or less.
- Who qualifies for hospice?
- Someone two doctors certify is terminally ill, with about six months or less to live, who chooses comfort care over a cure. Coverage keeps renewing as long as a doctor recertifies.
- Does choosing hospice mean giving up?
- No. It changes the goal from cure to comfort, and brings a full team to manage pain and support the family, usually at home.
- Can you leave hospice?
- Yes, any time -- you return to regular Medicare, and can choose hospice again later if you qualify.
- Where does hospice happen?
- Usually where the person lives -- home, a relative's home, assisted living, or a nursing home. Local hospices also have hospice houses for short inpatient stays.
What Medicare's hospice benefit covers
Under Medicare, a hospice team manages care related to the illness at no cost to most families. That includes nurses, a hospice aide, the hospice doctor, medicines for comfort, medical equipment and supplies, a social worker, a chaplain, short-term respite for the caregiver, and grief support for the family afterward. You keep regular Medicare for anything unrelated to the terminal illness.
Coverage runs in two 90-day periods, then unlimited 60-day periods, each recertified by a hospice doctor. There's no set limit as long as the person still qualifies.
Hospice vs. palliative care, plainly
| Palliative care | Hospice care | |
|---|---|---|
| Who it's for | Anyone with a serious illness, any stage | A terminal illness, about 6 months or less |
| Alongside a cure? | Yes -- can run with curative treatment | No -- comfort care instead of a cure |
| Main goal | Ease symptoms and stress | Comfort and quality of life at the end |
How to start
Ask the doctor for a hospice or palliative-care referral, or call a hospice directly -- you don't have to wait for the doctor to bring it up. The hospice will confirm eligibility and set up care, often within a day or two. It's common to wish you'd called sooner.
Local nonprofit hospices
These serve the Nature Coast. Numbers are from each organization's own site (August 2026).
| Hospice | Serves | Phone |
|---|---|---|
| HPH Hospice (Chapters Health) -- nonprofit since 1982 | Pasco, Hernando & Citrus | 866-940-0962 |
| Gulfside Healthcare Services -- nonprofit | Pasco (and nearby) | 800-561-4883 |
Sources
- Medicare -- Hospice care coverage. https://www.medicare.gov/coverage/hospice-care
- Centers for Medicare & Medicaid Services -- Hospice. https://www.cms.gov/medicare/payment/fee-for-service-providers/hospice
- Medicare -- Care Compare (find & compare hospices). https://www.medicare.gov/care-compare/
- HPH Hospice / Chapters Health System (Pasco, Hernando, Citrus). https://www.chaptershealth.org/care-support/hospice-care/hph-hospice/
- Gulfside Healthcare Services (Pasco). https://www.gulfside.org/