ExtraCare Services is a program of HCI Care Services, an organization which has been caring for Iowans since 1978. HCI Care Services also offers HCI Hospice Care Services (formerly known as Hospice of Central Iowa), a non-profit hospice care service. If you or a loved one is facing a serious illness, let HCI Hospice Care Services be that first call to answer your questions and offer peace of mind, (515) 333-5800 or toll-free at (800) 806-9934. You can also email This email address is being protected from spambots. You need JavaScript enabled to view it..

What is hospice care?
Hospice care focuses on the comfort and support of an individual and his or her family as they face a life-limiting illness. A team of experts visits the individual wherever he or she lives, offering care, education, assistance and peace of mind. The hospice team is on call 24 hours a day, seven days a week to meet the needs of patients and families.

Should I wait for the physician to recommend hospice care, or should I bring it up during one of our visits?
You should feel free to approach the subject of hospice care at any time with your physician. You may also call hospice directly, (515) 333-5800, with questions or for a free visit from a nurse. You may ask for an information-only meeting so you are prepared in the future when services are needed.

How is the cost of hospice care covered?
Hospice care is covered by Medicare, Medicaid and most private insurance policies. HCI Hospice Care Services also offer a sliding fee scale for those with no coverage. Through donor support, the HCI Foundation provides charitable care to patients of HCI Hospice Care Services who don't have coverage or other means to pay for the cost of their care. Under Medicare and Medicaid, all costs are covered (including durable medical equipment) except for 5 percent of pharmacy costs. Private insurance coverage is per the individual's contract. Medications related to the hospice diagnosis are usually paid at 100 percent.

When a person has hospice services, who will be involved in the care?
Every patient's care plan is customized, based on his or her needs. Care and support is provided by registered nurses, social workers, hospice aides, volunteers, spiritual care counselors, a team physician and medical director, bereavement counselors, therapists, dietitian and other health professionals as needed.

Sometimes people say that choosing hospice is giving up hope. Is this true?
Choosing hospice care is not giving up hope. In fact, choosing hospice means that the individual can look forward to living his or her remaining time in comfort, with dignity and surrounded by people who care. When the focus turns from cure to care, that's when it's time to call.

Where do your services take place?
Hospice care is provided first and foremost in the home. If for some reason, the patient can't or chooses not to stay in the home, services are also provided in area nursing homes and at HCI Care Services' residential hospice houses:

  • Kavanagh House on 56th Street, 900 56th St, Des Moines, IA
  • Bright Kavanagh House, 3000 Easton Blvd, Des Moines, IA
  • Greater Regional Hospice Home, 1111 County Club Drive, Creston, IA
  • Hospice with Heart Hospice House, 357 Indian Hills Drive, Glenwood, IA

Does hospice do anything to make death come sooner?
Hospice does nothing to speed up or slow down the death process. Hospice makes the patient comfortable until death comes peacefully and naturally.

If I know of someone who is seriously ill, how can I access services?
Anyone can call to learn more about hospice or to request a visit from a hospice nurse. Call HCI Care Services at (515) 274-3400 or (800) 806-9934 to start the process.