HOSPICE CARE

THAT EMBRACES LIFE

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Is It Time for Hospice?

A serious illness can be overwhelming for the entire family and people often wonder when they should consider hospice care. This short quiz can help.

Hospice is 100% covered by Medicare, Medicaid and most commercial insurance plans for all eligible patients.

HAVE YOU OR A LOVED ONE...

    1

    Been hospitalized or gone to ER several times in past 6 months?


    2

    Been making more frequent phone calls to your physicians?


    3

    Started taking medication to lessen physical pain?


    4

    Started spending most of the day in a chair or bed?


    5

    Fallen several times over the past 6 months?


    6

    Started needing help with one or more of the following? (bathing, dressing, eating, getting out of bed, walking)


    7

    Started feeling weaker or more tired?


    8

    Experienced weight loss making clothes noticeably looser?


    9

    Noticed a shortness of breath, even while resting?


    10

    Been told by a doctor that life expectancy is limited?


    Your Name *

    Email *

    Hospice Candidate's City, State*

    Your Phone Number

    Incorrect email

    By clicking submit, you consent to us following up with you by phone or e-mail regarding your hospice quiz and whether you are appropriate and eligible for hospice care. If after clicking submit, you decide you do not want to be contacted any further, please e-mail us at admin@inspirehospice.com.

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