Advocacy

Retirement Connection Guide • 1-800-462-1316 What is PACE?

PACE is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home. PACE stands for Programs of AllInclusive Care for the Elderly. With PACE, the focus is on you — you have a team of health care professionals working with you and your family to make sure you get the coordinated care you need. Your team is experienced in caring for older adults. Usually, they care for a small number of people, so they really get to know you. How does PACE work?

PACE organizations provide care and services in the home, the community (which includes assisted living, memory care and adult care homes), and the PACE center. They have contracts with many specialists and other providers in the community. Most PACE participants get most of their care from staff employed by the PACE organization in the PACE center, which meet state and federal safety requirements. Who can get PACE?

You can have either Medicare or Medicaid, or both, to join PACE. To qualify for PACE, you must be 55 or older; live in the service area of a PACE organization; need a nursing home-level of care (as certified by your state); be able to live safely in the community with help from PACE. What does PACE cover? PACE provides all the care and services covered by Medicare and Medicaid, and if authorized by your health care team, may cover services that Medicare and Medicaid don’t cover. Services covered include primary and specialty medical care; dentistry, vision and audiology; emergency services and hospital care; care at home; nursing home care; physical, occupational and speech therapy; medications and medical equipment; social services; care management; and transportation to the PACE center for activities or medical appointments, if medically necessary. How to apply for PACE

In Oregon, to find out if you’re eligible call Providence ElderPlace, or call your Medicaid office.

What you pay for PACE depends on your financial situation

If you have Medicaid, you won't pay a monthly premium for the long-term care portion of the PACE benefit. If you don't qualify for Medicaid but you have Medicare, you'll be charged a monthly premium to cover the long-term care portion of the PACE benefit and a premium for Medicare Part D drugs. There's no deductible or copayment for any drug, service, or care approved by your health care team. If you don't have Medicare or Medicaid, you can pay for PACE privately.

Source: www.Medicare.gov

Article Provided By: Providence ElderPlace 503-215-6556 www.Providence.org/ElderPlace www.PACE4You.org

Providence ElderPlace PACE

A health plan, medical care provider, and so much more

PACE members receive all necessary medical care, medications, medical supplies, and care coordination—all from one program! Social activities, in-home care, transportation, and more, are also provided and coordinated at no additional cost. Call now and speak with an eligibility specialist! 503-215-6556

503-717-7150 (Clatsop / Tillamook) 1-800-848-4442 (TTY/ hard of hearing) providenceoregon.org/ElderPlace PACE provides care and support to those 55 and older who live in our service area and need help with We accept Medicaid daily activities such as walking (mobility), using the bathroom (toileting), bathing/grooming, or care related to dementia. Other eligibility criteria apply.