How does the Medicare PACE program help older adults?

How does the Medicare PACE program help older adults?

PACE Overview

Programs of All-Inclusive Care for the Elderly (PACE) provides social and medical services at facilities such as adult day health centers, inpatient clinics and home-health. It is a Medicare and Medicaid program. Health care for adults is a priority and PACE provides personalized and coordinated care to meet these needs. The program strives to assist Medicare beneficiaries with advocating for their health as well as delaying home nurse care.

Teams within the program include primary care physicians, nurses, social workers, dietitians, caregivers and therapists. The medical staff also works with PACE centers, providing more than just care in the home. Participants will still receive all of their Medicare benefits while enrolled in PACE. In fact, PACE may also provide coverage for other services not often covered by Medicare.

Medical Services Often Covered by PACE:

  • Preventative Care
  • Primary Care
  • Hospital visits
  • Home Health Care
  • Meals
  • Personal and Nursing Care
  • Physical Therapy
  • Recreational Therapy
  • Occupational Therapy
  • Dental Services
  • Social Services
  • Medically Necessary Medical Transportation
  • Prescription Drugs*

*Participants in PACE can get their Medicare-covered prescriptions drugs through PACE. Participants enrolled in a Medicare Prescription Drug Plan will be dis-enrolled from PACE.

PACE Eligibility

PACE is available in certain states. Qualification for the program requires that participants meet all of the following criteria:

  • Be aged 55 years or older.
  • Reside in an area where a PACE center is serviced.
  • Depending on state certification guidelines, be required to obtain nursing home level of care.
  • Safely thrive in the PACE community.

For additional information and an applications, contact your local Medicaid program for offering and eligibility.

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How does the Medicare PACE program help older adults?