Hospice Knowledge Center

What is the hospice bereavement benefit?

Every Medicare-certified hospice must provide bereavement services to the family of a hospice beneficiary for up to 13 months after the beneficiary’s death, at no charge. Bereavement is a required program under 42 CFR §418.64 and one of the elements surveyors ask to see.

By Goodwin Hospice Academy Editorial Team· Published February 16, 2026·Last reviewed February 16, 2026· 5 min read

Bereavement benefit, in one sentence

Hospices must offer bereavement follow-up (typically a mix of phone calls, mailed materials, memorials, and support groups) to bereaved family members for up to 13 months post-death — no additional charge.

Common program design

A typical hospice bereavement program includes: a bereavement assessment during the hospice stay, phone or in-person check-ins at 2 weeks / 1 month / 3 months / 6 months / 12 months post-death, mailed condolence and grief-education materials, community grief support groups, and an annual memorial service.

Who provides bereavement

Most hospices employ dedicated bereavement counselors (often licensed social workers or trained bereavement specialists) plus chaplain support. Volunteers may participate in follow-up calls and memorial services under staff supervision.

Audit considerations

Surveyors verify the bereavement assessment is documented, the bereavement plan is offered, the follow-up cadence is tracked, and families can opt in or out. Missing bereavement-plan documentation is a common citation.

Frequently asked questions

Is bereavement billed to the family?
No. Bereavement is included in the hospice per-diem and is provided at no additional charge for up to 13 months.
What if the family declines?
Document the offer and the family’s decision. Continue to send periodic mailings unless the family opts out entirely.
Do we bereavement-follow-up on all deaths?
CoPs require bereavement services for the family of every hospice beneficiary. Program depth may vary by risk level (some hospices tier follow-up intensity based on the initial bereavement assessment).

Sources & further reading

  1. 42 CFR §418.64(d) — Bereavement counseling
  2. NHPCO Standards of Practice — Bereavement

Educational content only. Not a substitute for your organization’s policies, your medical director’s clinical judgment, or current CMS guidance.

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