The Comprehensive Care for Seniors through PACE is both a Medicare and Medicaid initiative aimed at assisting individuals to receive their medical support within their own communities rather than transitioning to a nursing home or different caregiving institutions.
PACE allows for a collective of medical professionals to collaborate with you and your relatives to ensure you get the integrated medical care you require. They tend to manage a limited cohort of participants, enabling them to become intimately acquainted with each individual.
Should you decide to join PACE, it might be obligatory to select a doctor that is endorsed by the PACE program.
What is the mechanism behind PACE?
PACE includes all of the health and medical services covered by both Medicare and Medicaid, alongside additional services deemed essential by the PACE medical team to foster and preserve your well-being. This encompasses prescription medications, and extends to crucial medical support such as visits to doctors or medical practitioners, transit, in-home care, hospital admittance, and even residence in a nursing home if it becomes essential.
For individuals with Medicaid, there is no monthly fee for the long-term care segment of the PACE advantage. If you only have Medicare and no Medicaid, you will incur a monthly charge for the long-term care section of the PACE benefit and an additional premium for Medicare’s prescription drug plan (Part D). Nevertheless, within PACE, there are no deductibles or co-payments for any prescriptions, services, or treatments sanctioned by the PACE healthcare consortium.
Who is eligible for PACE?
Both Medicare and Medicaid beneficiaries can enroll in PACE. Availability of PACE is limited to certain states that have adopted the PACE model within their Medicaid offerings.
