When you or a loved one is facing illness, injury, or end-of-life care decisions, it’s natural to have questions. At Affinity Healthcare, we believe that informed families make the best healthcare decisions. This FAQ section is designed to provide you with clear, honest answers to the questions we hear most often from the families we serve.

Whether you’re exploring home healthcare for recovery, considering palliative care to manage symptoms while continuing treatment, or making decisions about hospice care, we’re here to help you understand your options. Every situation is unique, and our experienced team is always available to discuss how our services might benefit you and your family.

Remember, there are no “wrong” questions when it comes to healthcare decisions. If you don’t find the answer you’re looking for here, please don’t hesitate to contact us directly. We’re honored to support you during this important time

Hospice Care

Understanding hospice care can help families make informed decisions during difficult times. Here are answers to the most common questions about our hospice services.

Hospice care is a specialized form of medical care focused on providing comfort and support to individuals with life-limiting illnesses. Rather than attempting to cure the illness, hospice emphasizes quality of life, pain management, and emotional and spiritual support for both patients and their families.

Our interdisciplinary team includes physicians, nurses, social workers, chaplains, and trained volunteers who work together to address physical, emotional, and spiritual needs during this important time.

Hospice care is appropriate for individuals with a life-limiting illness when curative treatment is no longer effective or desired. Generally, patients are eligible when a physician certifies that they have a prognosis of six months or less if the disease follows its natural course.

Common diagnoses include advanced cancer, heart disease, lung disease, dementia, kidney failure, and liver disease. However, eligibility is determined on an individual basis by our medical team in consultation with the patient’s physician.

Absolutely not. Choosing hospice represents a shift in focus from curative treatment to comfort care, but it doesn’t mean giving up hope. Instead, it means redefining hope—focusing on quality time with loved ones, freedom from pain, maintaining dignity, and finding peace.

Many families find that hospice care allows them to make the most of the time they have together, creating meaningful memories and ensuring their loved one receives compassionate, expert care.

Hospice care can be provided in various settings based on the patient’s needs and preferences:

  • At Home: Most patients prefer to receive hospice care in their own home, where they’re most comfortable
  • Assisted Living or Nursing Facilities: We provide care wherever the patient resides
  • Hospice House: Our dedicated facility offers 24/7 care in a homelike environment
  • Hospital: When necessary, hospice support can be provided in hospital settings


Our team works with families to determine the most appropriate care setting

Our comprehensive hospice program includes:
  • Regular visits from our skilled nursing team
  • 24/7 on-call support for urgent needs
  • All medications related to the terminal diagnosis
  • Medical equipment and supplies (hospital bed, oxygen, etc.)
  • Personal care assistance from certified aides
  • Social work services for emotional support and care planning
  • Chaplain services for spiritual support (all faiths welcome)
  • Bereavement support for family members up to 13 months after loss
  • Volunteer services for companionship and respite

Hospice care is covered by Medicare, Medicaid, and most private insurance plans. Medicare covers 100% of hospice services with no out-of-pocket costs for hospice-related care. This includes all medications, medical equipment, nursing care, and support services.

For patients without insurance coverage, we work with families to find financial solutions. No one is denied hospice care due to inability to pay.

Yes, patients can choose to leave hospice care at any time. Some patients’ conditions improve and they no longer meet hospice eligibility criteria. Others may decide to pursue curative treatment again. If a patient leaves hospice and later needs services again, they can be readmitted.

Our team respects each patient’s right to make their own healthcare decisions and will support whatever choice they make.

Family members are essential partners in hospice care. While our professional team provides medical care, families offer the love, companionship, and emotional support that only they can provide. We train and support family caregivers, teaching them how to provide comfort care and recognize changes in their loved one’s condition.

We also recognize that caregiving can be demanding. Our team provides respite care to give family members breaks when needed, and we offer counseling and support groups to help families navigate this difficult journey.

Home Healthcare

Home healthcare brings professional medical services to the comfort and convenience of your home. Learn more about how our services can support your recovery and independence.

Home healthcare is professional medical care provided in your home by licensed healthcare professionals. This can include skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide services.

Home healthcare is typically prescribed by a physician for patients recovering from illness, surgery, or injury, or for those managing chronic conditions. It allows patients to receive high-quality medical care while remaining in the comfort and familiarity of their own homes.

To qualify for home healthcare services, patients typically need to meet these criteria:

  • Be homebound or have difficulty leaving home without assistance
  • Require skilled nursing care or therapy services
  • Have a physician’s order for home healthcare
  • Need intermittent (not 24-hour) care


Common situations that qualify include post-surgical recovery, wound care, chronic disease management, rehabilitation after stroke or injury, medication management, and assistance with activities of daily living.

Our comprehensive home healthcare services include:

  • Skilled Nursing: Wound care, IV therapy, medication management, injections, vital sign monitoring
  • Physical Therapy: Strength building, mobility training, pain management, fall prevention
  • Occupational Therapy: Relearning daily activities, adaptive equipment training, home safety assessments
  • Speech Therapy: Swallowing disorders, speech recovery, cognitive communication
  • Medical Social Work: Care coordination, community resources, emotional support
  • Home Health Aide: Personal care, bathing, dressing, grooming assistance

Visit frequency is determined by your physician’s orders and your individual care needs. Some patients may receive visits several times per week, while others might need only once or twice weekly.

Your care team will create a personalized schedule that ensures you receive the right level of care. As your condition improves or changes, we’ll adjust the frequency of visits accordingly. We also provide 24/7 on-call support for urgent questions or concerns between scheduled visits.

Most home healthcare services are covered by Medicare, Medicaid, and private insurance plans when deemed medically necessary by a physician. Medicare Part A and Part B cover home healthcare if you meet specific criteria, including being homebound and requiring skilled care.

Our admissions team will verify your insurance benefits and explain any potential out-of-pocket costs before services begin. We also offer payment plans for those with limited or no insurance coverage.

We understand that many patients need home healthcare services quickly, especially after hospital discharge. In most cases, we can initiate services within 24-48 hours of receiving a physician’s order and completing the necessary paperwork.

For urgent situations, such as same-day hospital discharges, we make every effort to accommodate immediate needs. Our intake team works efficiently to verify insurance, coordinate with your physician, and schedule your first visit as soon as possible.

Home healthcare involves skilled medical services provided by licensed professionals (nurses, therapists) and requires a physician’s order. It’s typically short-term and covered by insurance for specific medical conditions.

Home care (or private duty care) refers to non-medical assistance with daily activities like bathing, meal preparation, and companionship. These services are usually provided by non-licensed caregivers, are more long-term, and are typically paid privately.

We offer both types of services and can help you determine which is most appropriate for your situation.

We strive for continuity of care by assigning a primary team of caregivers who will typically handle your care. This allows them to get to know you, understand your needs, and build a trusting relationship.

However, there may be occasions when schedule changes, time off, or urgent situations require a substitute caregiver. All of our team members are highly qualified, and comprehensive care notes ensure that anyone providing your care is fully informed about your treatment plan.

Yes, we encourage family members to be present during visits. Family involvement is often crucial to successful home healthcare. Our team can teach family members how to assist with care between visits, answer questions about the patient’s condition, and provide updates on progress.

We also understand that families have busy schedules. If family members can’t be present, our caregivers will leave detailed visit notes and are available by phone to discuss the patient’s care and progress.

Palliative Care

Palliative care focuses on improving quality of life for patients facing serious illness. Discover how this specialized care can provide relief and support at any stage of disease.

Palliative care is specialized medical care focused on providing relief from symptoms and stress of serious illness. The goal is to improve quality of life for both patients and their families. Palliative care is appropriate at any age and at any stage of illness, and can be provided along with curative treatment.

Our palliative care team works alongside your other doctors to provide an extra layer of support, addressing physical symptoms like pain and nausea, as well as emotional, social, and spiritual concerns

While both focus on comfort and quality of life, there are key differences:

  • Timing: Palliative care can begin at diagnosis and continue throughout treatment. Hospice typically begins when curative treatment is no longer pursued.
  • Treatment: Palliative care can be provided alongside curative treatment. Hospice focuses solely on comfort care.
  • Prognosis: Palliative care has no specific prognosis requirement. Hospice requires a life expectancy of six months or less.
  • Duration: Palliative care can continue for years. Hospice is typically shorter-term.


Think of palliative care as an extra layer of support available at any point in a serious illness, while hospice is one type of palliative care for end-of-life situations.

Anyone living with a serious illness can benefit from palliative care, regardless of age or prognosis. Common conditions include:

  • Cancer at any stage
  • Heart disease
  • Lung disease (COPD, pulmonary fibrosis)
  • Kidney failure
  • Dementia or Alzheimer’s disease
  • Parkinson’s disease or ALS
  • Liver disease
  • Stroke
  • HIV/AIDS


If you’re experiencing physical discomfort, emotional distress, or difficulty managing a complex illness, palliative care may help.

Our comprehensive palliative care program includes:

  • Symptom Management: Pain control, nausea relief, breathing difficulties, fatigue, loss of appetite
  • Care Coordination: Communication between all your doctors, help navigating the healthcare system
  • Emotional Support: Counseling for anxiety, depression, and stress related to illness
  • Spiritual Care: Support in finding meaning and peace
  • Family Support: Education, counseling, and respite care for family caregivers
  • Advance Care Planning: Help defining your goals and preferences for future medical care

No, palliative care complements your existing treatment plan. Our team works in collaboration with all your physicians—your primary care doctor, specialists, and surgeons. We don’t replace your current doctors; we add an extra layer of support.

In fact, research shows that receiving palliative care alongside curative treatment can improve outcomes, reduce hospital stays, and enhance overall quality of life. You can continue all your regular treatments while benefiting from palliative care’s symptom management and support services.

Palliative care can be provided in multiple settings based on your needs:

  • Outpatient Clinic: Regular appointments at our palliative care center
  • Hospital: Consultations during hospitalizations
  • Home: Home visits for those who have difficulty traveling
  • Nursing Facilities: Care where you currently reside


Many patients see our team in the clinic, similar to other specialist appointments. We also provide telehealth visits when appropriate.

Palliative care is covered by most insurance plans, including Medicare and Medicaid, just like other specialist visits. Because it’s considered regular medical care (not hospice), there are no special requirements for coverage.

Your insurance will typically cover palliative care visits, medications, and procedures according to your plan’s normal coverage rules. Our billing team can verify your specific coverage and explain any potential out-of-pocket costs before you begin services.

While some insurance plans require a referral from your primary care doctor or specialist, many do not. We recommend checking with your insurance company or calling our office—we’re happy to help determine if you need a referral and can assist in obtaining one if necessary.

You can also discuss palliative care with any of your current doctors. Many physicians proactively refer patients to palliative care because they recognize the benefits it provides.

The best time to start palliative care is as soon as you’re diagnosed with a serious illness, especially if you’re experiencing symptoms that affect your quality of life. Early palliative care has been shown to:

  • Improve symptom control
  • Reduce anxiety and depression
  • Improve communication with healthcare team
  • Help patients better tolerate treatments
  • Enhance overall quality of life


You don’t need to wait until symptoms become severe or treatment options are limited. Palliative care can help from the very beginning of your illness journey.

Yes, palliative care is completely voluntary. You can start or stop services at any time based on your needs and preferences. Some patients use palliative care continuously throughout their illness, while others access it during particularly challenging periods.

If your symptoms improve or your situation changes, you may choose to discontinue palliative care. You can always return if your needs change again in the future. Our team respects your autonomy and will support whatever decision you make about your care.

For Healthcare Professionals

For physicians, nurses, case managers, and healthcare professionals seeking to refer patients to our services. We make the referral process simple and provide comprehensive support for your patients.

We’ve streamlined our referral process to make it as easy as possible for busy healthcare professionals. You can refer patients through multiple channels:

  • Online Referral Portal: Access our secure HIPAA-compliant portal 24/7 at [your-website.com/referrals]
  • Phone: Call our dedicated referral line at (555) 123-4567, available 24/7
  • Fax: Send referral information to (555) 123-4568
  • EMR Integration: We integrate with most major EMR systems for seamless electronic referrals


Our intake team responds to all referrals within 2 hours during business hours and coordinates directly with your office.

To expedite the referral process, please include:

  • Patient demographics (name, DOB, address, phone, insurance information)
  • Primary and secondary diagnoses with ICD-10 codes
  • Current medications and allergies
  • Brief clinical summary and reason for referral
  • Physician orders specifying requested services
  • Recent progress notes or discharge summary
  • Preferred contact person and their relationship to patient


Don’t worry if you don’t have all this information—we can work with what you have and gather additional details as needed.

We understand that timely care coordination is critical, especially for hospital discharges. Our typical response times are:

  • Same-day hospital discharges: We can often initiate services the same day when needed
  • Urgent referrals: Services typically begin within 24 hours
  • Standard referrals: Services begin within 24-48 hours of receiving complete referral information


Our intake team will contact you immediately if there are any barriers to timely service initiation, and we’ll work collaboratively to resolve issues quickly.

Consider hospice referral for patients with life-limiting illness when:

  • Disease is progressing despite optimal disease-directed treatment
  • Patient/family wishes to focus on comfort rather than curative treatment
  • Prognosis is six months or less if disease follows its natural course
  • Patient experiences declining functional status or increasing symptom burden
  • Patient has increasing emergency department visits or hospitalizations


We’re happy to provide consultation if you’re uncertain about hospice appropriateness. Our medical director is available for collegial discussions about complex cases. Remember, earlier hospice referrals often result in better symptom management and family satisfaction.

Refer to Palliative Care when:

  • Patient has serious illness but is still pursuing disease-directed treatment
  • Complex symptom management is needed alongside curative treatment
  • Patient/family needs assistance with goals of care discussions
  • Care coordination is challenging due to multiple specialists or frequent hospitalizations
  • Patient would benefit from extra layer of support at any stage of illness


Refer to Hospice when:

  • Patient has decided to forgo curative treatment
  • Prognosis is six months or less
  • Focus is solely on comfort and quality of life
  • Patient/family desires comprehensive end-of-life support


Palliative care patients can transition to hospice when appropriate, creating a seamless continuum of care.

We believe strong communication with referring providers is essential for optimal patient care. Our communication protocols include:

  • Admission notification: We notify referring physicians within 24 hours of service initiation
  • Regular updates: Comprehensive progress notes sent weekly or at certification periods
  • Significant changes: Immediate notification of acute changes, hospitalizations, or concerns
  • Verbal communication: Our clinicians are available for phone consultations anytime
  • Discharge summaries: Complete summary sent upon patient discharge from services
  • Preferred method: We’ll communicate via your preferred channel (EMR, fax, phone, secure email)


You remain the physician of record, and we coordinate all care with your treatment plan.

We accept most major insurance plans including:

  • Medicare and Medicare Advantage plans
  • Medicaid and Managed Medicaid
  • Most commercial insurance plans (Blue Cross Blue Shield, Aetna, United Healthcare, Cigna, Humana, etc.)
  • Veterans Affairs benefits
  • Private pay options


Our financial counselors verify insurance benefits before service initiation and work with families to address any coverage issues. We never deny services based on inability to pay.

If you have questions about a specific patient’s insurance, call our referral line and we’ll verify coverage immediately.

Absolutely! We accept referrals from all healthcare settings:

  • Hospital discharges: We coordinate with discharge planners and case managers for seamless transitions
  • Physician offices: Direct referrals from primary care or specialist offices
  • Nursing facilities: We provide services to patients in assisted living, skilled nursing, and long-term care facilities
  • Emergency departments: Accept referrals for patients who would benefit from home-based care instead of admission
  • Urgent care centers: Collaborate to provide follow-up care at home


We work with your facility’s existing processes and can provide on-site consultations when helpful.

Healthcare professionals choose us because we:

  • Respond quickly: 24/7 availability with rapid response times
  • Communicate effectively: Regular updates and immediate notification of changes
  • Provide quality care: Experienced, compassionate clinicians with low turnover
  • Accept complex patients: Equipped to manage challenging medical and social situations
  • Support your practice: We reduce hospital readmissions and ED visits
  • Maintain continuity: Consistent care team members for each patient
  • Honor your orders: We follow your treatment plan and coordinate all care with you
  • Offer education: Free CEU opportunities and lunch-and-learn sessions for your staff


We view referring providers as partners in patient care and work to make your job easier while ensuring optimal outcomes for shared patients.

Yes! We’re committed to supporting our referral partners through:

  • On-site education: Lunch-and-learn sessions on hospice, palliative care, and home healthcare topics
  • Continuing education: Free CEU-eligible programs for physicians, nurses, and staff
  • Clinical consultations: Our medical directors are available for case consultations
  • Resource materials: Patient brochures, referral pads, and educational materials for your waiting room
  • Referral training: We’ll train your staff on our referral process and documentation requirements
  • Regular check-ins: Our physician liaisons visit practices to answer questions and provide support


Contact our provider relations team to schedule education or request materials for your practice.

Ready to Refer a Patient?

Our dedicated referral team is available 24/7 to accept referrals and answer your questions.

We’re here to support you and your family with compassionate, expert care tailored to your unique needs and circumstances. Don’t hesitate to reach out with any questions not addressed here.