Most major insurance companies have a Hospice benefit. Medicare reimburses Hospice at different rates depending on the level of care the patient and family are receiving. Typically this coverage is less than the actual expense of the palliative care given. Because of this, a Hospice program is dependent on continual community support to survive.

A caring community is what makes a Hospice program successful. The community typically donates 25% of the cost of the Hospice program. These donations help with program expenses not covered by insurance and covers care for people without insurance. The community provides the volunteers that assist with Hospice team. Sakakawea Hospice educates the community concerning Hospice services, death, dying, grief, coping with loss and provides information on advanced directives (Living Will and Durable Power of Attorney).