General Discussion
In reply to the discussion: A Fitting Final Gift From Jimmy Carter [View all]Ms. Toad
(35,194 posts)And the Carters are not "staying" in hospice. They are at home. The only question under Medicare is payment for room and board (not applicable to the Carter's situation. Hospitalization days are relatively limited (60 days for a single co-pay, then $400/day for the next 30 in a single year, then $800/day for up to 90 lifetime days). All supplements add 365 days of hospitalization to the basic Medicare coverage of 60 days, and pick up part or all of the copays. Most Medigap plans cover most of all skilled nursing facilities.
As to qualifying plans under the ACA - I don't have any direct experience with tha - but a quick search indicates that at home hospice (as the Carters had) is covered.
As to the woman you referenced, there are horror stories, especially before the ACA. The ACA changed a lot of things, including lifetime caps which heavily impacted cancer patients. And Medicaid is different from Medicare. Assuming she had a traditional insurance plan, even under an ACA plan, her options for where she obtained her care would have been limited.