Medicare Pace is not a source of funds, but rather an optional program that covers medical needs and personal care using Medicare/Medicaid funds. Think of it as another way of managing your benefits.
This model utilizes a set group of medical providers. It includes medications (Part D) and medically necessary transportation.
This program is intended for seniors who need skilled services but would like to remain at home rather than a skilled nursing facility. If the PACE program can no longer safely support the senior it will pay for care in a skilled nursing home.
PACE services are available to persons living in assisted living facilities, but the plan does not pay for room and board at that facility.
If a participant qualifies for Medicaid there is not a monthly premium for long term care. If the participant does not qualify for Medicaid but has Medicare, there will be a monthly premium, but there are no deductibles or co-payments.
The application and approval process in certain areas can be quite lengthy-as long as 9 months. This is not the case everywhere but applicants and their families should be aware.
PACE stands for Programs of All-Inclusive Care for Elderly. In some states it is known as LIFE-Living Independence for the Elderly. Not all states have programs and there are not programs in all areas of each state. If no program exists in your area you may apply outside your area, however all providers will be in the program's geographic area., so the program may not be the best fit for you.
Our vision is to make a positive difference in the lives of Medicare eligible tribal members. Our mission is to save members money and help them receive the most benefits available to them.
Contact you local tribal health agent to discover the benefits that best fit your needs. You may also qualify for additional benefits and income.