An Introduction to Programs of All-inclusive Care for the Elderly

Programs of All-inclusive Care for the Elderly, otherwise known as PACE, are Medicare programs for individuals over 55 who have disabilities.  PACE provides alternatives to nursing-home care, and, through a variety of services, works to offer beneficiaries with options to remain living in their community.   You are eligible for PACE if you are 55 years or older, live in a PACE organization service area, are certified by your state as needing nursing home level of care, and are able to, with the help of PACE, safely reside in your community when you join.

To create an individualized health care plan, PACE uses a team of skilled professionals, experienced in working with the elderly.  This health care team will work with you to determine the type of care and services you will require to have your health needs met. 

PACE covers a wide variety of services, in addition to those covered by Medicare and Medicaid.  Some of their coverage benefits may include prescription medication, hospital visits, check-ups, doctor care, home care, emergency services, transportation, necessary nursing home stays, adult day care, recreational therapy, social services, dentist care, nutritional counseling, and X-ray services.  There are a number of other services that may be covered as well, depending on your needs. 

Enrollment in PACE is does not depend on your financial situation.  If you qualify for Medicare, all Medicare-covered services will be paid for.  The long-term care offered by PACE will also be covered, either fully or with a minimal monthly payment, if you qualify for your State’s Medicaid Program.  If you don’t, you will need to pay a monthly premium for PACE benefits and Medicare Prescription Drug coverage, although you won’t need to pay any deductibles or copayments for services approved by your team. 

 PACE is one way Medicare can meet your needs.  For more information, visit the National PACE Association at www.npaonline.org.