quiz.amedisys.comAmedisys Quiz

Is Hospice The Answer? A serious illness can be overwhelming for the entire family – but that's where hospice can help. Hospice is 100% covered by Medicare for all eligible patients and is covered by most Medicaid and commercial insurance plans. Anyone can refer a patient to hospice, and the evaluation is free. If you're not sure whether you or your loved one might be eligible to receive hospice care, this brief questionnaire might help. Have you or a loved one... 1) Been hospitalized or gone to ER several times in past 6 months? Yes No 2) Been making more frequent phone calls to your physicians? Yes No 3) Started taking medication to lessen physical pain? Yes No 4) Started spending most of the day in a chair or bed? Yes No 5) Fallen several times over the past 6 months? Yes No 6) Started needing help with one or more of the following? (bathing, dressing, eating, getting out of bed, walking) Yes No 7) Started feeling weaker or more tired? Yes No 8) Experienced weight loss making clothes noticeably looser? Yes No 9) Noticed a shortness of breath, even while resting? Yes No 10) Been told by a doctor that life expectancy is limited? Yes No Your Name * Email * Hospice Candidate's Zip Code * Your Phone Number Hospice Candidate's Doctor's Name 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 hospice@amedisys.com. 100% Privacy Guaranteed Copyright © 2021 Amedisys. All rights reserved. Privacy Policy...