Social services, including caregiver training, support groups, and.If you do, you'll be disenrolled from your PACE health and prescription drug benefits. You don't need to join a separate Medicare Prescription Drug Plan. If you join a PACE program, you'll get your Part D-covered drugs and all other necessary medication from the PACE program. Adult day primary care (including doctor and recreational therapy nursing services).Here are some of the services PACE covers: If your health care team decides you need care and services that Medicare and Medicaid doesn't cover, PACE may still cover them. PACE provides all the care and services covered by Medicare and Medicaid if authorized by your health care team. You can leave a PACE program at any time. Be able to live safely in the community with help from PACE.Need a nursing home-level of care (as certified by your state).PACE is only available in some states that offer PACE under Medicaid. You can have either Medicare or Medicaid, or both, to join PACE. However, in PACE, there’s never a deductible or copayment for any drug, service, or care approved by the PACE team of health care professionals. If you have Medicare but not Medicaid, you’ll be charged a monthly premium to cover the long‑term care portion of the PACE benefit and a premium for Medicare drug coverage (Part D). If you have Medicaid, you won’t have to pay a monthly premium for the long‑term care portion of the PACE benefit. This includes drugs, as well as any other medically necessary care, like doctor or health care provider visits, transportation, home care, hospital visits, and even nursing home stays when necessary. PACE covers all Medicare- and Medicaid-covered care and services, and other services that the PACE team of health care professionals decides are necessary to improve and maintain your health. When you enroll in PACE, you may be required to use a PACE-preferred doctor. Usually they care for a small number of people, so they really get to know you. With PACE, you have a team of health care professionals working with you and your family to make sure you get the coordinated care you need. Program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid Our elder care experts offer an alternative to nursing home placement that features comprehensive, coordinated care for a senior’s medical, social and physical needs, while also providing peace of mind for family caregivers.įor more information about PACE Southeast Michigan or to speak to one of our elder care representatives, please call (855) 445-4554 or submit our contact form. Our goal is to provide our frail senior community members with the care, medical treatment and support they need to achieve the highest quality of life – while staying independent as long as possible. Stay in the home you love, see us for the care you need. If you do not qualify for Medicaid: There is a monthly fee.īecause PACE Southeast Michigan provides and is responsible for all of your care, you may be financially responsible for any care you receive outside the program that is not approved by the PACE Southeast Michigan Interdisciplinary Team (except in an emergency). If you are eligible for both: There is no out-of-pocket cost. Your cost will depend on your Medicare and Medicaid eligibility: How much does PACE Southeast Michigan cost? PACE program staff can help determine a person's Medicaid eligibility. Individuals who do not qualify for Medicaid are responsible for the portion of the monthly premium Medicaid would pay. If a person meets the income and assets limits to qualify for Medicaid, the program pays for a portion of the monthly PACE premium Medicare pays for the rest. Are people who do not qualify for Medicaid eligible for PACE enrollment?