The Program of All-Inclusive Care for the Elderly (PACE) is coordinated by an interdisciplinary team of healthcare professionals, aiming to provide a wide range of services.
Services
- Adult Day Health Care
- Provides centralized medical care, rehabilitation, social activities, and meals. Transportation to and from the PACE center is typically included.
- Home Care
- Assistance with daily activities and personal care at home.
- Hospital Care
- PACE covers hospital stays and helps with care during and after hospitalization, whenever necessary.
- Nursing Home Care
- If health declines to the point where nursing home care is necessary, PACE covers and coordinates nursing services, ensuring continuity of care.
- Primary Care
- Usually includes regular doctor and nursing services, check-ups, and ongoing health monitoring.
- Other Medically Necessary Services
- PACE covers any other services deemed necessary by the team to improve and maintain overall health and allow a safe living.
Eligibility
- Applicants must be 55+.
- Must be within the service area of the PACE organization.
- A nursing home level of care is required.
- Applicants should not be enrolled in a separate Medicare Advantage Plan, Medicare Prepayment Plan, the Medicare Hospice Benefit, or Medicare prescription drug plan.
Financial Eligibility
- Medicaid Eligible
- Eligible Medicaid beneficiaries do not have to pay for the long-term care portion of the PACE benefit.
- Medicare Only
- For Medicare beneficiaries without Medicaid, payment for a monthly premium is required for long-term care and Medicare Part D. Co-payments and deductibles are not feasible.