The program is designed to assist an individual whose medical costs are very high or whose care would exhaust benefits. The plan is discussed with the patient, the family and the attending physician before the recommendations are finalized. These can include services not normally included in your coverage. The patient and family then have the option to select the provider. After reviewing the Alternative Benefit Plan, the patient and family can decide whether or not to accept the plan.
Participation is entirely voluntary.
The total amount of benefits paid under the Alternative Benefit Plan exceeds the amount that would be payable under the patient's regular hospital coverage. A hospice is an agency or facility that is primarily involved in providing care to terminally ill individuals. Hospice care is designed to replace inpatient hospital care. Services may be provided in hospice facilities or in the home. Hospice benefits replace the benefits available under your current coverage.