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Eligibility for PACE

Who is Eligible for PACE?

To qualify you must:

  • Be at least 55 years of age or older
  • Meet the state requirements for nursing home level of care
  • Be able to live safely in the community with the help of PACE services
  • Live in North County San Diego

 

What Does PACE Cost?

To enroll in PACE, individuals must meet specific medical and financial requirements. Many participants join PACE at low or no cost:

 

If You Qualify For:

 

Cost (Out-of-Pocket)
Medical

 

No cost for all covered services
MediCal and MediCare

 

No cost for all covered services
MediCare Only Pay the MediCal portion, plus a monthly premium for MediCare Part D prescriptions.
Neither MediCal nor MediCare

 

Self pay for all covered services

 

 

  • There is never a deductible or co-payment for any drug, service or care approved by our PACE team.
  • Your ability to pay will never keep you from getting the care you need.
  • All services including medical care are provided by the program.
  • All services participants receive must be approved by the PACE team.

 

Participants may be fully and personally liable for the cost of unauthorized out-of-network services.

Page last updated on October 14, 2020

Website H3563 GMWP Website 1 CMS approved 01/04/2019