PACE is a Medicare program for elderly individuals as well as people aged over 55 who are living with disabilities. This program provides community and home-based care and services to those who may otherwise need a level of care that can only be given in a nursing home.
What does PACE stand for in healthcare? Programs of All-Inclusive Care for the Elderly. And it was created as a way to offer these individuals, their families, their caregivers, as well as the wider professional health care provider base, the flexibility to meet all required health care needs, while helping these individuals to continue living in their own homes and communities.
An interdisciplinary team of professionals is highly trained to provide the coordinated care these individuals need. These professionals are experts in working with older people and they’ll also work together with participants and their families (if appropriate) to develop the most effective plan of care.
What Does the PACE Program Offer?
PACE provides all care and services covered by Medicare and Medicaid, as authorized by the interdisciplinary team, as well as any additional medically-necessary care and services not covered by Medicare and Medicaid.
PACE provides coverage for:
- Prescription drugs
- Doctor care
- Home care
- Hospital visits
- Nursing home stays whenever necessary
Focusing on the Individual
A full team of health care professionals are available to help make these important health care decisions. Our team is experienced in caring for the individual, meeting their unique personalities, living situations, and preferences.
They work together not just with the individual, but with those who surround them in their everyday life, working to develop care plans and program goals that maintain the highest quality of life.
Covering Prescription Drugs
PACE organizations offer Medicare Part D prescription drug coverage. Joining a PACE program will include all required Part D-covered drugs plus any other necessary medication from the PACE program.
The program also offers in-home medication management — a service that ensures the right medicines are ordered and delivered to the participant’s come. These can be organized in prepackaged sets for specific times of the day if required. All our services are tailored to every participant’s unique needs.
Along with medication management, the program also provides durable medical equipment and supplies like walkers, wheelchairs, bedside commodes and more.
Supporting Family Caregivers
PACE organizations support family members and other caregivers with caregiving training, support groups, and respite care, to help families keep their loved ones in the community.
Services in the Community
PACE organizations provide care and services in the home, the community, and the PACE center. We have contracts with many specialists and other providers in the community to make sure that every PACE participant gets the care they need.
Most PACE participants get the majority of their care from staff employed by the PACE organization at the PACE center. All PACE centers meet state and federal safety requirements and include adult day programs, medical clinics, daily living activities, and occupational and physical therapy facilities.
Sponsored by the Health Care Professionals Who Treat You
PACE programs are provider-sponsored health plans. This means that each participant’s PACE doctors and care providers are the same individuals who work with them to make the decisions about their care.
No higher authorities will overrule what the individual, their doctor, and their other care providers agree is best. Any individual in disagreement with the interdisciplinary team about a care plan has the right to file an appeal.
PACE Medical Transportation
PACE organizations provide all medically-necessary transportation to and from the PACE center for all activities or medical appointments. Transportation is also available for appointments in the wider community.
Need More Information?
If you are still asking yourself, “what is PACE?” or wondering whether it is right for you or a family member, please contact us. Our team will gladly walk you through all that we have to offer here at Gary and Mary West PACE.
You can call or visit us to discuss your options and eligibility.
Credit: My Health, My Medicare, January 2008