Hospice Care in Farmington Hills, MI
Lily Hospice brings hospice care to homes, assisted living, memory care and skilled nursing anywhere in Farmington Hills from our family-owned office in Troy. A nurse can usually visit within a day, Medicare covers the benefit in full for most families, and a real person answers (248) 955-5100 any hour.
Farmington Hills has one of the heaviest concentrations of senior housing in Oakland County. Independent living, assisted living, memory care, senior apartments and skilled nursing line Orchard Lake Road, Twelve Mile, Fourteen Mile, Middlebelt and Grand River. So the most common question from Farmington Hills families is not “Can hospice come to the house?” It is “Mom is already in a facility. How does hospice fit with what they do?”
This page answers that first. It is part of our Oakland County hospice care coverage, alongside Novi and Southfield; everything we provide is on our hospice services page. Still deciding whether it is time? Start with our Is It Time for Hospice guide or the shorter signs it may be time.
Hospice inside assisted living, memory care or a nursing facility
The facility keeps doing what it does: meals, housekeeping, medication administration, help with dressing, activities. Hospice adds a layer the facility does not provide: a hospice nurse who manages pain and symptoms and adjusts the plan as the illness progresses, a hospice aide for extra bathing and personal care, a social worker for the family, a chaplain, volunteers, and bereavement support afterward. Hospice also pays for medications, equipment and supplies related to the terminal illness. We explain the division of labor in more detail in hospice in assisted living or a nursing home.
The two teams coordinate. Our nurse writes orders the facility’s nurses carry out between our visits. When something changes at 3 a.m., the facility calls (248) 955-5100 and a real person at Lily answers, not an answering service. Your mother does not move. Her room, her routine and the aides she knows stay the same.
Medicare hospice does not pay the facility’s room and board. That remains whatever arrangement you already have.
What the first week looks like
If your mother is in a community on Orchard Lake Road or Twelve Mile, the first week usually begins with a call from the facility’s nurse or from you. We contact her physician for orders, and a Lily nurse comes to her room, often the same day, to explain the benefit, answer questions and, if you agree, complete admission on the spot. Our nurse writes the orders the facility’s staff follow between our visits, and comfort medications and equipment are delivered to the building. Nothing about her day changes except that more people are now watching over it. We wrote a plain-language walkthrough of what happens on the first hospice visit so nobody in the family is surprised.
Plenty of families here are still in the house, in the ranches and colonials from the 1960s through the 1980s off Thirteen Mile, Halsted, Drake and Inkster, or the condos along Northwestern Highway. At home the first week follows the same rhythm with one difference: our team is the only team. Picture your father in a 1970s colonial off Thirteen Mile. The nurse visits the first day, a hospital bed goes in the main-floor family room so he is not isolated upstairs, and oxygen, a wheelchair and a shower chair arrive if he needs them, all covered by Medicare. Over the next few days a nurse comes on a regular schedule to manage pain, breathing and whatever else his illness brings; a hospice aide comes for bathing and personal care; a social worker helps with paperwork and family decisions; a chaplain is available if he wants one. Between visits, one number is answered around the clock by a person on our team.
If your parent still lives alone in a Farmington Hills ranch or a condo on Northwestern Highway, hospice does not require a live-in caregiver. The team builds the visit schedule, medication system and emergency plan around the way your parent actually lives. Our guide to hospice when your parent lives alone explains how that works.
Faith, food and family at the end of life
Farmington Hills is home to large Jewish, Muslim, Hindu, Chaldean and Christian communities, and to families who want the end of life to honor specific traditions: who is present, what prayers are said, how the body is cared for, what is eaten, what happens on the Sabbath or during Ramadan. We ask about them on the first visit rather than discovering them at the last one. Our chaplain works alongside your own clergy, not instead of them.
Who qualifies, and the option before hospice
Medicare hospice requires a physician to certify a prognosis of six months or less if the illness runs its normal course, and the patient to elect comfort-focused care instead of treatment intended to cure the terminal illness. That is the whole test, and hospice can be revoked at any time. It is not a six-month sentence with a clock on it: the benefit renews for as long as a doctor confirms it still fits, which we explain in how long hospice lasts.
If your mother is still in treatment at Corewell Health Farmington Hills Hospital on Grand River, Karmanos’s Weisberg Cancer Center on Northwestern Highway or Henry Ford West Bloomfield Hospital, the Pathways Palliative Program manages symptoms alongside that treatment. It is billed as Medicare Part B visits, so the six-month certification does not apply. See the Pathways Palliative Program.
Starting hospice from Farmington Hills
If your father is in a facility, we also talk with its nurse or director. If he is in the hospital, tell the discharge planner you want Lily; Medicare gives you the right to choose.
- Call (248) 955-5100. Tell us what is going on. There is no obligation.
- We contact the physician for orders and confirm eligibility.
- A nurse visits the home or the facility in Farmington Hills, usually within a day, to explain the benefit, answer questions and, if you agree, complete admission.
- Equipment and medications arrive, and the care schedule begins.
This works on Saturdays and Sundays too. If a hospital discharge or a sudden change lands on a Friday afternoon, read how to start hospice this weekend. You can also keep the doctor you already trust; see can I keep my own doctor on hospice.
What Medicare pays
Medicare Part A pays Lily directly. The benefit covers the hospice team, medications for pain and symptom control related to the terminal illness, equipment and supplies, short-term inpatient care, respite and bereavement support. You may owe up to $5 per prescription for symptom-control drugs and 5% of the Medicare-approved amount for inpatient respite. Medicaid and most private plans mirror the benefit; if there is no insurance at all, read hospice with Medicaid only or no insurance. Benefit periods run two 90-day periods, then unlimited 60-day periods, each recertified. The four levels of care: routine home care (which includes care in a facility), continuous home care during a short crisis, inpatient respite and general inpatient care. Source: medicare.gov.
Respite when the caregiver is a spouse
Here the caregiver is very often a husband or wife in their eighties. Inpatient respite gives that spouse up to five consecutive days of real rest; volunteers can cover a few hours at home. A spouse who collapses helps no one. How to ask for it is on our hospice respite care page.
Resources for Farmington Hills families
- The Costick Activities Center on Eleven Mile Road, (248) 473-1800, the city’s hub for adults 50 and better, with recreation, travel and volunteer programs.
- AgeWays (formerly Area Agency on Aging 1-B), whose office is right here in Farmington Hills on Middlebelt Road, (800) 852-7795, for in-home services, caregiver resources and the MI Choice Medicaid waiver.
- Oakland County Veterans’ Services in Pontiac, for VA claims including Aid and Attendance. Lily has a Veteran Advisory Committee, a Veteran Rapid Response program, veteran volunteers who visit veteran patients, and pinning ceremonies to honor service and is working toward VA Community Care Network participation. Lily is family-owned, not veteran-owned. See our veterans page.
- Our articles at our resources on hospice in assisted living, medications, and what families can expect.
Why Farmington Hills families choose Lily
Family-owned in Troy. Medicare-certified and ACHC-accredited. A real person on the phone at every hour. At ease inside a facility’s routine as well as in a private home. And the Journey Program, which uses virtual reality to give a patient who no longer leaves her room an afternoon on a beach or in a city she left long ago. More at why families choose Lily, and compare us with any other hospice serving Farmington Hills on our hospice quality scores page, where we publish our Medicare Care Compare results, the good ones and the ones we are still working on.
How to reach us from Farmington Hills
Our office is at 2125 Butterfield Dr, Suite 299, Troy, MI 48084: I-696 east to I-75 north, roughly 25 to 30 minutes. You do not need to make the trip; we come to you or to the facility.
Nearby pages: Novi, Southfield, Oakland County.
Common questions
The assisted living community says they “have a hospice they work with.” Do we have to use it?
No. You have the right under Medicare to choose any certified hospice. Facilities cannot require you to use a particular one.
Does hospice cover the cost of memory care?
No. Room and board is separate. Hospice covers the hospice services, medications, equipment and supplies related to the terminal illness.
Can our rabbi or imam be involved?
Yes. Our chaplain supports your family’s own clergy and traditions. Tell us what matters and we will build the plan around it.
How fast can hospice start in Farmington Hills?
Usually within a day of your call, often the same day. Once the physician sends orders, a nurse comes to the home or the facility to complete admission, and equipment and medications follow. Weekend starts are possible.
Does hospice work inside memory care on Orchard Lake Road or Twelve Mile?
Yes. Hospice layers on top of the community’s care: the building still handles daily living, and we handle the hospice-level nursing, symptom management and family support. Your mother does not move, and we coordinate with the staff she already knows so nothing falls between the two teams.
Do you also serve Farmington, West Bloomfield and Franklin?
Yes. Farmington, West Bloomfield, Franklin, Orchard Lake and Keego Harbor are covered by the same Oakland County team, and so are neighboring Southfield and Novi.
Can we keep our own doctor?
Yes. Your parent’s own physician can stay involved as the attending doctor and work with our hospice medical director. Details are on keeping your own doctor on hospice.
Talk to us
Call (248) 955-5100 any hour, any day, and a real person at Lily Hospice will answer. Or reach us at our contact page. Related: same-day admission · hospice in assisted living or memory care · metro Detroit hospice directory · who answers at night.
Hospice isn’t giving up. It’s showing up. Call (248) 955-5100; a real person answers, 24 hours a day.