The term PACE stands for “Programs of All-Inclusive Care for the Elderly.” This program is for seniors who may already have Medicare and Medicaid.
Patients can obtain care for their health conditions and treatments from within the community, rather than admittance into nursing home facilities or other forms of health care facilities.
One goal in creating the PACE program was to help seniors with their health concerns, rather than the usage of hospital and nursing facilities that may not be necessary.
What is the PACE Program
The PACE program provides social and medical services to elderly patients actively living in the community. PACE is a program under Medicare that many states can choose whether or not to participate.
States can choose to offer PACE services to their Medicaid participants as an optional choice that will fall under Medicaid’s services. There are currently more than 51,000 PACE participants among 31 states.
Most times, these elderly patients qualify for both Medicare AND Medicaid. PACE programs are non-profit organizations whose goal is to provide patients with quality health care.
The program is designed to offer many services to eligible participants who may require much daily care but may not live in a typical nursing home situation.
How does the PACE Program Work
PACE centers have a set of “PACE-specific” doctors and specialists. This team of experts can provide health care for patients in PACE centers, patients’ homes, and other sources within the community.
PACE centers will review their patients’ specific needs and create care plans around those needs. The team members are essential as they’re the ones ensuring patients meet medical and social needs.
These centers can then provide all services necessary.
Typically, PACE care teams consist of a:
- Primary care doctor
- Physical therapist
- Social worker
Who Qualifies For Programs of All-Inclusive Care for the Elderly
Seniors must also be able to live safely within their community.
PACE participants are very similar to nursing home residents. A single individual cannot earn more than $14,500 per year, and a married couple cannot earn more than $17,000 to qualify for PACE services.
The PACE program is 100% voluntary. If enrollees met all requirements and choose to move forward with the program, they’ll sign an agreement.
Enrollees can choose to stay enrolled in the program for as long as they need, even if their current health conditions drastically change.
Services Programs of All-Inclusive Care for the Elderly Covers
The PACE program covers a variety of health services for patients.
- Preventative care
- Meal preparation
- Emergency care services
- Home health care
- Transportation services to adult day health centers
- Social services such as respite care
- Training for family and caregivers
In addition to the services offered above, PACE can provide a wide variety of other much-needed services.
Many times, these services are daily in an adult day health center, and the patient can get extra care in their home, depending on just what their daily needs are.
Also, PACE enrollees are eligible to get any comprehensive care. If a senior requires end-of-life care, they can obtain pharmaceutical, medical, and social responsibility.
If a patient chooses to utilize their hospice benefits, they must disengage from the PACE program.
Apply for Programs of All-Inclusive Care for the Elderly
The best way to determine eligibility in the PACE program is to contact the closest organization. Also, Patients can discover if there are any local PACE centers by calling into the state Medicaid office.
Depending on what your income looks like, there may be severe fluctuation with PACE service cost amounts.
If patients have coverage under Medicaid, they will not be responsible for monthly premium costs of PACE benefits.
If a patient has Medicare but doesn’t qualify for Medicaid, they may have monthly premiums for Part D and a monthly premium that covers long-term care under the PACE program.
Medicare can land so many seniors in a world of unknowns. Health insurance coverage can be incredibly tricky.
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