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Programs of All-Inclusive Care for the Elderly (PACE) programs help people age in place and avoid living in nursing homes. Learn about these Medicare/Medicaid programs and find out if one is available where you live.
ACE is an acronym for Programs of All-Inclusive Care for the Elderly.
PACE is a voluntary Medicare and Medicaid program that helps people meet their health care needs at home instead of having to move into a nursing home or other inpatient facility.
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The main goal of a PACE program is to allow patients to “age in place.” That is, the goal of a PACE program is for patients to avoid living in a nursing home and instead continue living at home and within their own community.
There are a number of benefits to aging in place:
Plus, more than 90% of seniors say they want to remain in their own homes as they age.
PACE programs typically work with a small group of people, so the PACE team gets to know each member and works to coordinate care within the participating team of care providers.
Each PACE program is required to have at least one of the following types of providers as part of its team:
PACE programs have a PACE center that includes a primary care clinic, adult day health program and areas for therapeutic recreation, restorative therapies, socializing, personal care and dining.
You may have to use a PACE-preferred doctor when enrolled in a PACE program, but there is never a deductible or copayment required for any covered service that is approved by your PACE program.
PACE programs are required to have a governing body with community representation, safeguards against conflict of interest and a formal Participant Bill of Rights. All PACE programs are approved by the Centers for Medicare and Medicaid Services (CMS) and are monitored by state and federal regulating agencies.
There are 148 PACE programs operating in 32 different states. You can use the National PACE Association (NPA) PACE Program lookup tool to find a PACE program in your state.
In some states, PACE programs are referred to as LIFE programs, or Living Independence For the Elderly.
You must meet the following conditions to qualify for a PACE program:
While PACE is a Medicare/Medicaid program, you may still enroll in a PACE program and pay for it privately even if you are not enrolled in Medicare or Medicaid.
A PACE program covers the same services and items that are generally covered by Medicare and Medicaid. These include:
If your health care team determines you need some services not covered by Medicare or Medicaid, your PACE program may still cover it.
You will not pay a premium for your PACE program if you have Medicaid. If you do not have Medicaid, you will be charged a monthly premium for the long-term care portion of your PACE benefits.
You may need to pay a separate premium for Medicare Part D drug coverage.
PACE enrollment continues until death, regardless of any changes in health status.
Use the PACE program plan finder tool at the National PACE Association or at Medicare.gov to find a PACE program near you. Once you do, use the contact information provided to begin the enrollment process.
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
..Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.
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