Yes. Hospice is part of the VA's standard medical benefits package, so any veteran enrolled in VA healthcare who meets the clinical criteria gets hospice care at no cost — no copays, whether it's delivered by the VA directly or by a community provider under VA contract, like Spero. [If you're in Middlesex, Monmouth, Essex, Union, Somerset, or Mercer County], our team can start the eligibility conversation with a phone call.

No. This is one of the most common points of confusion. VA hospice eligibility only requires a terminal diagnosis with a prognosis of six months or less — it doesn't matter whether the illness is service-connected. (Service connection matters for VA disability compensation, which is a separate benefit.)

A veteran generally chooses one program — VA or Medicare — as the payer for the hospice benefit itself. Whichever one isn't covering hospice can still be used for care unrelated to the terminal illness. Veterans can also switch between VA and Medicare hospice if circumstances change. Our team helps sort out which option fits a specific situation at no charge.

Nothing, for care related to the hospice diagnosis. There are no copays under the VA hospice benefit. This includes nursing visits, medications tied to the terminal diagnosis, medical equipment, aide support, and chaplain and bereavement services.

No. Veterans can receive hospice at home, in an assisted living or skilled nursing facility, or in an inpatient setting if needed for symptom crisis. Spero brings the care team to wherever a veteran calls home across our six-county service area. (Link to relevant county page based on visitor's likely location, e.g., "hospice care in Middlesex County.")

Aid & Attendance is a monthly VA pension supplement for veterans or surviving spouses who need help with daily activities like bathing, dressing, or mobility. It can be used alongside hospice care to help offset costs of additional in-home support. Eligibility depends on income, medical need, and wartime service — our team can help determine whether a veteran qualifies.

Nothing changes. Electing hospice care does not reduce, pause, or disqualify a veteran from other VA benefits already in place, including disability compensation.

We Honor Veterans is a partnership between the National Hospice and Palliative Care Organization and the VA that trains hospice teams to address veterans' specific needs — combat trauma, PTSD, exposure-related illnesses, and the emotional weight some veterans carry into their final months. Spero is a We Honor Veterans partner, which means our team has specific training in veteran-centered end-of-life care. (Once you confirm your partner level — Level 1 through 5 — add it here; higher levels are a meaningful trust signal for referral sources and families comparing providers.)