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Answers to your questions

Honest, clear answers to the 26 questions families ask us most.

Hospice Basics

What is hospice care? (frequently asked)

Hospice is specialized medical care focused on comfort, quality of life, and dignity for people facing a life-limiting illness. Rather than trying to cure the illness, hospice provides expert pain and symptom management, emotional support, and spiritual care, so patients can live as fully and comfortably as possible.

Does choosing hospice mean giving up hope?

Absolutely not. Hospice redefines hope — from hoping for a cure to hoping for comfort, peace, meaningful moments, and a life lived with dignity. Many families tell us that hospice gave them the best quality time they'd had in months. It's about living well, not giving up.

When is the right time to consider hospice?

Hospice is available when a physician determines that a patient has a life expectancy of six months or less if the illness runs its normal course. However, many families wish they had started hospice sooner. If you're wondering whether it's time, we encourage you to call us for a conversation. There is no obligation.

What is the difference between hospice care and palliative care?

Both hospice and palliative care focus on comfort and quality of life, but they differ in timing and scope. Palliative care can begin at any stage of illness and can be provided alongside curative treatments. Hospice care is specifically for patients with a life expectancy of six months or less who have chosen to focus on comfort rather than cure. Think of hospice as a specialized form of palliative care for end-of-life.

Getting Started

How do I get hospice care for my loved one?

Anyone can make a referral — you, a family member, a doctor, a social worker, or a friend. Simply call us at (805) 361-0264 and we'll guide you through the process. Most patients are admitted within 24–48 hours.

Do I need a doctor's referral?

While hospice admission ultimately requires a physician's order, you don't need one to call us. We can coordinate with your loved one's doctor, or our medical director can provide the necessary certification.

Where is hospice care provided?

We bring care to wherever the patient calls home — their own house or apartment, an assisted living facility, a skilled nursing home, or a hospital. Our goal is comfort in the most familiar surroundings possible. We serve patients from Santa Barbara to Cambria, including Santa Maria, the Five Cities, San Luis Obispo County, Lompoc, and the Santa Ynez Valley.

What should I expect in the first few days of hospice care?

After admission, your care team will conduct a thorough assessment and create a personalized care plan. A nurse will visit to evaluate symptoms and set up any needed medications or equipment. A social worker will connect with the family to discuss needs and resources. We typically deliver medications, a hospital bed, and other supplies within 24 hours. Your team will explain exactly what to expect and how to reach us at any time.

Clinical Care

Will someone from hospice be here all the time?

Hospice care is intermittent, meaning team members visit on a scheduled basis — typically several times per week. However, our on-call nurse is available 24/7 by phone, and if a crisis arises, we can send a nurse for urgent support in the home. We also train family caregivers so they feel confident between visits.

How often does the hospice team visit?

Visit frequency depends on the patient's needs and care plan, not on a standard schedule. Your nurse and home health aide visit on a schedule the care team sets with your family, and the social worker, chaplain, and volunteer visit as needed. As needs change, we adjust how often the team comes.

Does pain medication shorten life expectancy?

No. This is a common concern, but research consistently shows that properly managed pain medication does not shorten life. In fact, studies suggest that patients with well-managed pain and symptoms often live longer than those whose pain goes untreated. Our nurses are experts in pain management and carefully adjust medications to keep your loved one comfortable.

What happens to medications my loved one was taking before hospice?

Our medical team reviews all existing medications and works with the patient's physician to determine which ones should continue. Hospice covers medications related to the hospice diagnosis. Some medications unrelated to the terminal condition may continue as before. We ensure a smooth transition with no gaps in care.

Can you receive radiation or other treatments while on hospice?

In some cases, yes. We may continue treatments like radiation therapy when they serve comfort purposes, for example to shrink a tumor that is causing pain. Our medical team works with the patient's physician to determine which treatments align with the goals of comfort care.

Are families trained to provide care between visits?

Yes. Our nurses and aides provide hands-on training for family caregivers, covering topics like medication administration, repositioning, personal care, and recognizing changes in condition. We also provide written materials and 24/7 phone support so you never feel alone in caring for your loved one.

Is hospice care available for children?

Yes. Pediatric hospice care is available for children with life-limiting conditions. Our team has experience providing age-appropriate comfort care and emotional support for the entire family. Under the Affordable Care Act, children can also receive pediatric hospice concurrent with curative treatment.

Sunset over the Pacific with distant silhouettes of land

“There are no wrong questions — only the ones left unasked.”

— The Santa Maria Hospice team

Costs & Coverage

How much does hospice care cost? (frequently asked)

For most patients, hospice care is fully covered by Medicare Part A, including all medications related to the hospice diagnosis, medical equipment (hospital beds, wheelchairs, etc.), and supplies. We also accept Medicaid and most private insurance plans. We never turn anyone away for inability to pay.

What services are included?

Hospice includes: skilled nursing visits, physician oversight, medications for pain and symptom management, medical equipment and supplies, home health aide assistance, social work services, spiritual counseling, volunteer support, and bereavement support for the family.

If covered by Medicare, will there be any additional expenses?

Medicare covers virtually all hospice-related costs. However, there may be a small copayment for outpatient prescription drugs (no more than $5 per medication) and a 5% copay for inpatient respite care. Costs for any treatments or conditions unrelated to the terminal diagnosis go through regular Medicare or other insurance.

Does Santa Maria Hospice require financial contributions from families?

No. We never require financial contributions from families for hospice services. Our care is covered by Medicare, Medicaid, and most private insurance. If you are uninsured or underinsured, please still reach out. We never turn anyone away for inability to pay.

Care & Support

Is someone available 24 hours a day? (frequently asked)

Yes. Our on-call nurses are available 24 hours a day, 7 days a week. If your loved one has a change in condition or you have urgent concerns at any hour, you'll always be able to reach a member of our clinical team.

What if my loved one's condition improves?

If a patient's condition improves or stabilizes, they can leave hospice and return to curative treatment. Hospice is not a one-way door. We can readmit patients if their condition changes again.

Do you provide support for the family after a loved one passes?

Yes. Our bereavement program provides grief support including one-on-one counseling, support groups, and community resources. We believe caring for the family doesn't end when our care for the patient does.

Are bereavement services available to anyone in the community?

Yes. Our grief support resources, including support groups, are available to anyone in the community who has experienced a loss — not just families of our patients. Contact us to learn about upcoming groups and resources.

How are complaints or concerns addressed?

We take every concern seriously. Families can speak with their care team, contact our office, or reach our administration directly. As a Joint Commission-accredited organization, we follow rigorous quality improvement processes. We also welcome feedback at any time. It helps us provide better care for everyone.

Volunteering

How can I support Santa Maria Hospice?

There are many ways to support our mission: volunteer your time to provide companionship and respite care, make a donation to support families in need, or help spread the word about hospice care in our community. Call us at (805) 361-0264 to learn more about how you can get involved.

How do I become a volunteer?

Hospice volunteers make a meaningful difference by providing companionship, reading to patients, running errands, or simply being a comforting presence. You don't need a medical background. We provide all the training. Volunteers typically commit a few hours per week on a flexible schedule. Learn more about volunteering or contact us to join our next training session.

We're here for you

Still have questions?

No question is too small. Call and ask, and we'll answer plainly, even when the answer is a hard one.

Want to read further? Our hospice resources page has guides on what to expect, and hospice eligibility explains who qualifies.