Sanctuary Hospice is a locally owned and operated patient centered agency in Sacramento, California. Having a serious or chronic illness comes with challenges. While your diagnosis is not your choice, how you live is. At Sanctuary Hospice we recognize that you are not your diagnosis. Our team of professionals customizes a care plan to meet your unique needs, one that will provide you with the best quality of life possible. Patients can receive services where they call home: private residence, nursing facility, assisted living, or other facility. Sanctuary Hospice is dedicated to changing the way our community experiences life-threatening illness, grief, and loss.
What is Hospice Care?
Hospice care is medical care to help someone with a terminal illness live as well as possible for as long as possible. Hospice professionals do not attempt to treat or cure a patient; the goal is to increase the quality of life that remains. To accomplish this, hospice provided medical services, emotional support and spiritual resources for the patients and their caregivers.
Hospice honors the individual wishes of every patient and their loved ones ensuring that comfort and quality of life is met with empathy and compassion.
Who Pays for Our Services?
Hospice care is typically paid for by Medicare and Medicaid, in which case patients pay nothing… ever. We also work with a extensive list of private insurers.
- Covers extensive collection of interdisciplinary services plus all medications, medical supplies and medical equipment related to the hospice diagnosis
- Includes routine home care, general inpatient care, respite care and continuous care
- If Medicare is being billed for hospice care, patients can still bill Medicare Part A for any unrelated and pre-existing issues
- Most Medicaid services are known as a “mirror” benefits
- If patients reside in a nursing facility, the facility will continue to receive room and board reimbursements if hospice is chosen
- If patients do not qualify for Medicare or Medicaid, private insurance will often cover the associated expenses
- Hospice of New Jersey works with a large and growing number of insurers including Blue Shield, Health Net of California and United Healthcare. Coverage does differ by office, based on insurance carrier
- Referrals require prior authorization for hospice services, with which we can help
No one is denied service because of race, color, religion, gender, age, national origin, disability, sexual orientation, diagnosis, or inability to pay for services provided.
Frequently Asked Questions (FAQ)
Learn more about us and about the details of hospice care
Additional information from the National Hospice and Palliative Care Organization (NHPCO).
Please also visit the NHPCO website for additional hospice-related information
Q. What is hospice?
Hospice care is a Medicare benefit that provides comfort and pain management for anyone with a six-month prognosis. Care will be provided as long as the patient remains eligible.
Q. What does hospice provide?
Hospice care includes a complement of benefits for eligible patients, related to the diagnosis including clinical services, durable medical equipment (like a bed or wheelchair), medical supplies (like wound care), and medications. The clinical services involves our physicians, nurses, home health aides, medical social workers and chaplains. We also have volunteers available to provide additional support.
Q. When should a decision about receiving care from Sanctuary Hospice be made – and who should make it?
At any time during a life-limiting illness, it’s appropriate to discuss all of a patient’s care options, including hospice. By law the decision belongs to the patient or their designated proxy. Understandably, most people are uncomfortable with the idea of stopping aggressive efforts to “beat” the disease. Sanctuary Hospice staff members are highly sensitive to these concerns and always available to discuss them with patients and families.
Q. May I still use my regular doctor?
Your primary care physician continues to be an integral part of your care. Our team collaborates and communicates with your MD while you receive care from Sanctuary Hospice. Our team continues to communicate with your primary care physician while you receive our care.
Q. What if our physician doesn’t know about hospice?
Most physicians know about hospice. Patients and families should feel free to discuss hospice care at any time with their physician, other health care professionals, clergy or friends. If your physician wants more information about hospice, it is available from the National Council of Hospice Professionals Physician Section, medical societies, state hospice organizations, or the National Hospice Helpline, 1-800-658-8898. In addition, physicians and all others can also obtain information on hospice from the American Cancer Society, the American Association of Retired Persons, and the Social Security Administration.
Q. Will I still be able to make my own decisions regarding my care?
Yes, you and your family are in charge of your care.
Q. Will my advance directives be honored by Sanctuary Hospice?
Yes, it is your right to choose your advance directives. We do not require a DNR (Do Not Resuscitate) order, and we will review all options with you.
Q. What does the Sanctuary Hospice admission process involve?
One of the first things Sanctuary Hospice will do is contact the patient’s physician to make sure he or she agrees that hospice care is appropriate for this patient at this time. (Sanctuary Hospice has medical staff available to help patients who have no physician.) The patient will be asked to sign consent and insurance forms. These are similar to the forms patients sign when they enter a hospital. The “hospice election form” states that the patient understands that the care is palliative (aimed at pain relief and symptom control) rather than curative. It also outlines the services available. The form Medicare patients sign also tells how electing the Medicare hospice benefit affects other Medicare coverage.
Q. Can a hospice patient who shows signs of recovery be returned to regular medical treatment?
Certainly. If the patient’s condition improves and the illness seems to be in remission, patients can be discharged from Sanctuary Hospice and return to aggressive therapy or go on about their daily life. If the discharged patient should later need to return to hospice care, Medicare and other insurers will allow coverage for this purpose.
Q. What will happen if I outlive my prognosis?
We continue to provide the same care for you as long as you remain eligible forSanctuary Hospice’s services. You will not be given less service regardless of how long you are in our care, and Sanctuary Hospice will never charge you for our care. Some people live longer than their original prognosis once their pain and symptoms are under control.
Q. What specific assistance does Sanctuary Hospice provide home-based patients?
Just like patients who reside at a facility, home-based patients are cared for by a team of physicians, nurses, social workers, counselors, certified nursing assistants, clergy, therapists, and volunteers – and each provides assistance based on his or her own area of expertise. In addition, Sanctuary Hospice provides medications, supplies, equipment, and hospital services related to the life-limiting illness.
Q. Is there any special equipment or changes I have to make in my home before Sanctuary Hospice begins providing care?
Sanctuary Hospice will assess your needs, recommend any equipment, and help make arrangements to obtain any necessary equipment. Often the need for equipment is minimal at first and increases as the illness progresses. In general Sanctuary Hospice will assist in any way it can to make home care as convenient, clean and safe as possible.
Q. How many family members or friends does it take to care for a patient at home?
There’s no set number. One of the first things Sanctuary Hospice will do is to prepare an individualized care plan that will, among other things, address the amount of caregiving needed by the patient. Sanctuary Hospice staff visit regularly and are always accessible to answer medical questions, provide support, and teach caregivers.
Q. Must someone be with the patient at all times?
In the early weeks of care, it’s usually not necessary for someone to be with the patient all the time. Later, however, since one of the most common fears of patients is the fear of dying alone, Sanctuary Hospice generally recommends someone be there continuously. While family and friends do deliver most of the care, Sanctuary Hospice provides volunteers to assist with errands and to provide a break and time away for primary caregivers. While no one from Sanctuary Hospice will move into your home, we will work with you to establish a frequency of visits from your Sanctuary Hospice team members that meets your unique needs.
Q. Is caring for the patient at home the only place Sanctuary Hospice can deliver care?
No. Sanctuary Hospice provides care wherever a patient calls home, be it a private residence, nursing home, assisted living facility, hospital, retirement community, hotel, etc.
Q. How does Sanctuary Hospice “manage pain”?
Sanctuary Hospice believes in the concept of ‘total pain’ as defined by Dame Cicely Saunders, the founder of the modern hospice movement. This concept recognizes that pain is not simply physical, but also encompasses social, spiritual, and psychological aspects. As such, our entire team addresses these aspects that may be affecting a patient’s comfort. Our doctors and nurses are up-to-date on the latest medications and treatment modalities used for pain and symptom relief. Our social workers, chaplains, and counselors attend to the non-physical causes of pain and suffering.
Q. What is Sanctuary Hospice’s success rate in battling pain?
Very high. Using some combination of medications, counseling and therapies, almost every patient can attain a level of comfort that is acceptable to them.
Q. Will medications prevent the patient from being able to talk or know what’s happening?
Usually not. It is the goal of Sanctuary Hospice to have the patient as pain-free and alert as possible. By constantly consulting with the patient, Sanctuary Hospice has been very successful in reaching this goal.
Q. Is Sanctuary Hospice affiliated with any religious organization?
No. While some churches and religious groups have started their own hospices, our hospice serves a broad community and does not require patients to adhere to, nor do we promote, any particular set of beliefs.
Q. Does Sanctuary Hospice provide any help to the family after a patient passes away?
Sanctuary Hospice provides continuing contact and support for caregivers for at least a year following the death of a loved one. Sanctuary Hospice sponsors bereavement groups and support for anyone in the community who has experienced a death of a family member, a friend, or similar losses.
Q. Who pays for Sanctuary Hospice’s services?
You pay nothing…ever. Sanctuary Hospice’s care is fully covered under Medicare, Medicaid, and many commercial insurance benefits. We do not charge you any out-of-pocket expenses for your care, such as deductibles, co-pays, or co-insurance. We pay for 100% of your care, including all of your medications, medical equipment and supplies related to the illness we are treating. We also strive to provide our services free of charge to patients and families that have no health insurance or other financial resources.
Q. Do you accept donations?
We do NOT require donations to support the services we provide directly. We ask that you consider donating to the Community Hospices of America Foundation to support programs such as:
- Last Wishes
- Groceries and Utilities Bills for Families in Need
- Clinical needs unrelated to hospice services
- Public Education
You may mail donations to our office and we will forward those donations directly to the Community Hospices of America Foundation. You may also contribute donations directly to the Community Hospices of America Foundation by visiting www.chafoundation.org/contributeonline. When contributing, please indicate Sanctuary Hospice so that these funds can be applied to our patients and their families. The Community Hospices of America Foundation is a non-profit 501(c)3 corporation managed by a volunteer Board of Directors. All donations will be acknowledged by the Foundation and are 100% tax deductible. The Foundation notifies families and caregivers of memorial gifts.
Sanctuary Hospice does not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, color, national origin, disability, or age in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by Sanctuary Hospice directly or through a contractor or any other entity with which Sanctuary Hospice arranges to carry out its programs and activities.
This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91.
Additionally, Section 1557 of the Affordable Care Act:
Sanctuary Hospice complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Sanctuary Hospice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you believe that Sanctuary Hospice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Simrin Cheema, Administrator, 6608 Mercy Court, Suite A, Fair Oaks CA 95628, Telephone number-(916) 671-3017, Fax-(916) 671-3034. You can file a grievance in person or by mail, fax, or email.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
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