Understanding The Four Levels of
Hospice Care
How Routine, Continuous, Inpatient, and Respite care work and when each level is used.
The Four Levels of Hospice Care
Hospice offers four levels of care so support can match changing needs. Your team helps you transition smoothly between levels to keep you comfortable and safe. These levels are part of the Medicare Hospice Benefit when criteria are met.
The Four Levels
Routine Home Care (Most Common)
Ongoing nurse and team visits at home or in a facility to manage symptoms and support caregivers.
Continuous Home Care
Short-term, intensified nursing support in the home during a pain or symptom crisis to help avoid hospitalization when possible.
General Inpatient Care
Short-term care in a hospital or inpatient unit when symptoms require around-the-clock clinical management.
Respite Care
Brief inpatient care (typically up to 5 days) to give family caregivers a needed break.
Coverage Notes
When criteria are met, Medicare typically covers each level at 100% for needs related to the hospice diagnosis.
We’ll explain eligibility for each level, obtain approvals when needed, and help you move between levels smoothly.
When Levels Change
Worsening pain, breathing issues, or other symptoms
Urgent need for new equipment or medications
Caregiver exhaustion or safety concerns
Frequently Asked Questions
Who decides the level of care?
The hospice team and physician collaborate with you to determine the most appropriate level.
Can we move back to a lower level?
Yes. Care levels adjust as symptoms stabilize or change.
Is there an extra cost for higher levels?
Typically covered by Medicare when criteria are met; we’ll review your coverage in plain language.
Find The Right Level of Care Now
Not sure which level fits right now? Call (714) 455-1995 to schedule your consultation.
