How to Choose the Right Hospice Care in Federal Way for Your Loved One

Grace Eisenberg

Aug 6, 2025

Fact checked by John Enwere

When a loved one enters the final chapter of life, families often feel overwhelmed by decisions. Choosing the right hospice care in Federal Way can bring comfort, guidance, and dignity to your loved one’s remaining time. Whether you're in the Twin Lakes neighborhood or near Mirror Lake, this guide will walk you through everything you need to know with clarity and compassion.

Step 1: Understand What Hospice Care Is and Who Qualifies

Hospice care focuses on comfort and quality of life for individuals with a terminal illness. Rather than trying to cure the condition, hospice helps manage pain, reduce stress, and support both the patient and their family during the final months.

What Does Hospice Care Include?

  • Pain and symptom management

  • 24/7 access to nurses and medical professionals

  • Help with bathing, grooming, and meals

  • Medication and medical equipment related to the illness

  • Emotional and spiritual counseling

  • Grief and bereavement support for the family

Who Is Eligible for Hospice Care?

Hospice care is available when a person has a terminal illness with a prognosis of six months or less, if the illness runs its natural course. A physician must certify eligibility.

Condition

When Hospice May Be Appropriate

End-stage cancer

Pain is uncontrolled; treatments no longer effective

Heart failure

Frequent ER visits; shortness of breath at rest

Late-stage Alzheimer’s

Minimal verbal ability; total dependence; difficulty swallowing

COPD or advanced lung disease

Oxygen dependence; frequent infections; low energy

ALS or neurological disorders

Severe mobility loss; feeding difficulties; limited communication

Types of Hospice Care

  • Routine Home Care: Regular visits from a nurse, aide, or social worker in the patient’s home

  • Continuous Home Care: Around-the-clock care during a crisis

  • Inpatient Hospice Care: For pain or symptoms that cannot be managed at home

  • Respite Care: Short-term inpatient care to give family caregivers a break

How to Decide Which Type is Best

Ask these questions:

  • Can your loved one be safely cared for at home?

  • Is there a family or professional caregiver available?

  • Are symptoms stable or rapidly worsening?

  • Are there religious or spiritual needs that should be supported?

Step 2: How Hospice Care Works in Federal Way

In Federal Way, hospice care is offered at home, in assisted living communities, or in dedicated inpatient settings. Most families in neighborhoods like Twin Lakes or Northshore choose in-home hospice for comfort and continuity.

Nearby medical landmarks like St. Francis Hospital and Virginia Mason Federal Way Medical Center often refer patients to local hospice agencies for continuity of care.

Top Hospice Providers Serving Federal Way

Hospice Provider

In-Home Care

Inpatient Care

Areas Served in Federal Way

Notes

CHI Franciscan Hospice

Yes

Yes

Twin Lakes, Dash Point, entire city

24/7 nurse support, emotional & spiritual care

Providence Hospice

Yes

Yes

Mirror Lake, Lakota, all neighborhoods

Holistic care team, grief counseling included

MultiCare Hospice

Yes

Yes

Northshore, West Campus

Integrates closely with hospitals

Kaiser Permanente Hospice

Yes

No

Members throughout Federal Way

In-home hospice only for Kaiser patients

Most agencies provide care within 24 to 48 hours of referral and work directly with your physician or hospital discharge planner.

Step 3: How to Pay for Hospice Care in Federal Way

The cost of care is one of the most pressing concerns for families. Thankfully, most hospice services are fully covered.

Who Pays for Hospice?

Payment Source

What’s Covered

Medicare Part A

Covers 100% of hospice care related to the terminal condition

WA State Medicaid

Full hospice coverage for low-income Washington residents

Private Insurance

Most plans offer full hospice benefits; check your policy

VA Benefits

Hospice is fully covered for qualified veterans

Are There Out-of-Pocket Costs?

  • Some agencies may charge small copays for medications or respite care (usually under $10)

  • Services unrelated to the terminal illness may not be covered

  • Choosing a non-network provider could incur additional fees

Can Undocumented Patients Get Hospice?

Unfortunately, Medicare and Medicaid typically do not cover undocumented individuals. However:

  • Some nonprofit agencies provide sliding scale hospice support

  • Community clinics and faith-based groups in Federal Way may help connect families to resources

Step 4: Questions to Ask a Hospice Provider in Federal Way

Having a prepared list of questions helps ensure the provider aligns with your loved one’s needs and values.

Questions to Ask a Hospice Provider in Federal Way

Federal Way Hospice FAQs

Q: Can hospice come to a Federal Way assisted living facility?
A: Yes. Most hospice agencies will coordinate with assisted living facilities to provide care on-site.

Q: Do I have to use the agency my hospital refers me to?
A: No. You have the right to choose any Medicare-certified hospice agency that serves Federal Way.

Q: How fast can hospice start in Federal Way?
A: Most providers can begin care within 24–48 hours of a physician’s referral and eligibility confirmation.

Q: Is home hospice available in Twin Lakes or Mirror Lake neighborhoods?
A: Absolutely. These quiet, residential areas are well-suited for in-home hospice care.

Q: Can my loved one return to curative treatment after starting hospice?
A: Yes. Patients can stop hospice at any time if they decide to pursue curative care.

Final Thoughts

Choosing hospice care is one of the most compassionate choices you can make. In Federal Way, from Twin Lakes to Mirror Lake, families have access to caring, professional support systems that ease the burden during a difficult time.

If you’re not quite ready for hospice but need help at home, Caringene connects families to flexible, local in-home caregivers throughout Federal Way.

Related Blog Posts from Caringene:

The content on this blog is intended for general informational purposes only and does not constitute medical advice, diagnosis, or treatment. Caringene is a non-medical home care provider. Do not make healthcare decisions based on the information provided here—always consult with a physician or licensed medical professional for guidance regarding medical care or treatment.

Looking for home care in Washington? We’re ready when you are.

Whether it’s after surgery, a fall, or just time for daily support — we provide fast, compassionate in-home care for families across Washington.
No contracts. No call centers. Just real care, when your family needs it most.