Program of All-Inclusive Care for the Elderly (PACE)
PACE is a type of health planA group of doctors, specialists, clinics, pharmacies, hospitals, and long-term care providers that work together to meet your needs.
Full Definition > that covers all your MedicareThe federal health program that provides health care benefits for people age 65 years or older, people age 65 years or younger with certain disabilities, and people with certain diseases.
Full Definition > and Medi-CalCalifornia’s Medicaid program. Medi-Cal offers health coverage for low-income Californians.
Full Definition > benefitsMedicare and Medi-Cal cover health care benefits, which are medically-necessary services that you get from your health plan and/or individual providers.
Full Definition >, as well as some extra benefitsHealth care services provided by your health plan or program that have no extra cost to you. These are services not generally covered by Medicare or Medi-Cal. Also called “additional benefits.”
Full Definition >.
- You can get extra help so you can live in your home and community, like having shower grab bars and ramps installed.
- You have a Care TeamA group of your doctors and other providers that share information about your health and work together to give you the care you need.
Full Definition > to help you get all the care you need, including help at home, and equipment and supplies.
- You get services at PACE adult day centers, with free transportation.
- You may have to switch to PACE providersA person or organization that provides health care-related services, like a doctor, hospital, or clinic.
Full Definition >.
- PACE health plans are for people who have extra needs and need extra help to safely live in their home and community for as long as possible.
- PACE health plans are for people age 55 years or older.
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- Includes your Medicare AND Medi-Cal benefits—no more being caught in the middle and being confused about how to get the care and services you need.
- PACE is designed for those who require higher needs and special care to continue living independently, and PACE coordinates all-inclusive medical and social services to ensure that happens.
- PACE health plans cover all your existing benefits, like doctors, hospitals, prescription drugs, medical suppliesSupplies that are typically disposable, single use, medically-related, and often ordered or prescribed by a physician.
Full Definition >, durable medical equipmentThis is equipment ordered or prescribed by your doctor to use at home. Medical equipment is reusable, and examples are walkers, wheelchairs, and hospital beds.
Full Definition >, and nursing care, plus:
- Extra dental, hearing, and vision coverage.
- TransportationMedicare covers emergency ambulance services. Medi-Cal provides transportation to non-emergency, medically-necessary services, like doctor visits or to pick up a prescription.
Full Definition > help.
- Respite care.
- Mental healthBehavioral health services that focus on mental health, for example counseling or medication you would receive to help with feelings of sadness or stress.
Full Definition > and substance use supportBehavioral health services that help people who use substances like alcohol or other drugs.
Full Definition >.
- You have a dedicated Care Team to make sure you get all the services you need.
- PACE health plans provide services at PACE adult day centersCenters that provide daytime health care, such as nursing, therapies, social activities, and meals for people who don’t need care 24/7.
Full Definition >, a place where you can get:
- Free transportation to and from the PACE adult day center and to any off-site medical appointments.
- Physician services, including specialists, and medical care.
- Meals and nutritional counseling.
- Supportive services like caregiverA person who provides support for someone who has daily living needs, for example an older adult and/or a person living with a disability.
Full Definition > training, support groups, and respite careFunding and/or support for primary caregivers to take a short-term break from caregiving.
Full Definition > to help your family and caregivers.
- Restorative therapiesPhysical, occupational, speech, and psychiatric treatment, provided to someone with a temporary or permanent disability with the goal of increasing, restoring, or maintaining function.
Full Definition >, including physical therapy and occupational therapy.
- Personal care support servicesServices you receive in a home to help with activities of daily living like getting in and out of bed, bathing, dressing, preparing meals and eating, and more.
Full Definition >.
- Social activities like arts and crafts.
- PACE health plans usually provide home-based, medical and personal care services through PACE providers (instead of through In-Home Supportive Services, IHSSThe IHSS program provides in-home care for people who cannot safely remain in their own homes without assistance.
Full Definition >). This means that if you have IHSS and join PACE, you might have to change your IHSS caregiver to receive in-home support.
- If you are living in a nursing facilityNursing facilities include nursing homes and rehabilitation facilities and provide nursing, rehabilitative, and medical care.
Full Definition >, you might be able to join PACE and work with your PACE Care Team to move back into your home and community.
- If you join a PACE health plan, you will have to see PACE providers. This includes doctors, hospitals, and medical equipment and supplies.
- Your PACE health plan will form a Care Team that will make sure you get all the care you need, including finding new providers that will meet your needs.
- If you have an IHSS caregiver, you will most likely have to switch to a PACE caregiver for your in-home services.
- If you have family and friends who are helping you live safely at home, they can get services like caregiver training, access to support groups, and respite care.
To qualify for PACE, you must:
- Have Medicare and Medi-Cal.
- Be age 55 years or older.
- Live in a ZIP code where PACE is available.
- Need a high level of care for a disability or chronic condition to live safely in the community.
- Need extra help to live safely in your home and community and not in a nursing facility.
To learn more about PACE and find out if you are eligible, contact Health Care Options at 1-844-580-7272 (TTY 1-800-430-7077). For more help with the choices listed in your Results tab, call the phone number provided click the title of the choice to visit their website.
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Explore More About PACE
CalPACE, the association of PACE health plans