Omaha ElderCare Resource Handbook
Programs of All-Inclusive Care for the Elderly (PACE)
PACE is a Medicare and Medicaid program for people who need support services to remain in their home. Services provided through PACE are determined by an interdisciplinary team of professionals. PACE provides primary and hospital care as well as prescription drugs, adult day services, transportation and other services provided in the home, at the PACE center and in the community.
Individuals may be eligible for PACE if they (a) are 55 years old or older, (b) live in the service area of a PACE organization,(c) meet the need for nursing home level of care and (d) are able to live safely in the community with the help of PACE services.
Once enrolled in PACE, the amount you pay each month will not change no matter what care or services you might need. There is never a copay, deductible or coverage gap. If you are eligible for Medicaid, you never pay a premium. If you are eligible for Medicare only, you are charged a monthly premium for the program and a premium for Medicare Part D coverage. If you are not eligible for Medicare or Medicaid, you pay a private pay rate. Because PACE provides and is responsible for all of your care, you may be held financially responsible for any care you receive outside the program that is not approved by the PACE interdisciplinary team.
Enrollment and disenrollment usually occur at the beginning of each month and must be done directly through PACE. You can leave a PACE program at any time. For more information, visit www.pace4u.org or contact your local PACE provider: