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What is PACE?
WelbeHealth’s Program of All-Inclusive Care for the Elderly (PACE) coordinates the care of each enrolled participant based on their unique needs, with the goal of helping them remain living at home in their community.
What is the difference between WelbeHealth and PACE?
The Program of All-Inclusive Care for the Elderly, or PACE, is a Medicare and Medicaid program that helps people meet their healthcare needs in the community instead of going to a nursing home or other care facility. PACE is both a primary care provider and a health insurer. Currently, there are more than 240 PACE centers operating in more than 30 states. WelbeHealth delivers PACE services with quality and compassion. We do this through our network of committed providers who deliver care with kindness.
How is WelbeHealth different from other senior care options?
Our team culture, commitment to helping seniors thrive and our innovative approach to delivering PACE set WelbeHealth apart. We address the holistic physical, mental, and social needs of seniors, not just their medical treatment.
When can I enroll in WelbeHealth services?
Is transportation provided to and from the WelbeHealth center?
How often will I go to the WelbeHealth center?
Are meals served at the center? What if my doctor recommends a special diet?
We serve breakfast, lunch, dinner and snacks. If your doctor recommends a special diet, we will create a meal plan that works for you.
Can I get in-home care?
We provide in-home care if you need it for medical reasons and can’t come to the center. We assess your needs and create a personal care plan for your situation.
Am I eligible for PACE?
To qualify for PACE, you must meet the following criteria:
- 55 years of age or older
- Live in the designated service area
- Certified by the state as eligible for nursing facility level of care
- Live safely in your home and the community
What do I need to do to maintain my eligibility after I enroll?
Enrollment in the PACE program is voluntary. You will stay enrolled for as long as you want to be, regardless of changes in health status.
What does it mean to meet nursing home level of care?
This varies by state. In California, a doctor determines if there’s a need for nursing home care. People may need nursing home care if they can’t self-administer medications or feed themselves, or if they need help dressing/bathing or suffer from a mental illness or Alzheimer’s.
Insurance / Costs
Does my insurance cover WelbeHealth’s PACE services?
Medicare and Medi-Cal reimburse WelbeHealth for care. If you are enrolled in Medicare and Medi-Cal, you will pay nothing, or you will pay your Medi-Cal “share of cost.”
Does my insurance change if I enroll in WelbeHealth services?
Once you enroll, WelbeHealth coordinates and pays for all your medical care, becoming both your insurer and provider.
Do I notify my insurance company when I enroll with WelbeHealth PACE?
We will do this for you.
How much will WelbeHealth services cost?
The cost for WelbeHealth services depends on your financial situation. Most participants receive our services at no cost to them.
- If you have Medi-Cal or both Medicare and Medi-Cal with no share of cost, then our services are at no cost.
- If you are eligible for Medicare but not Medi-Cal, you pay Medi-Cal and Medicare Part D premiums.
- If you are not eligible for Medicare or Medi-Cal, you pay the self-pay rate.
Do I lose my Medicare or Medi-Cal when I enroll in WelbeHealth?
How do I enroll?
First, we’ll call you to explain our program. Then we’ll schedule a tour of the WelbeHealth center and do a home care assessment.
What happens if I move?
If you move outside of WelbeHealth service areas, we’ll try to transfer you to a different PACE center in your new location.
If I enroll, can I keep my current doctor?
We will help you choose a primary care physician in our network. In some cases, we can arrange for visits with your current doctor as well.
After I apply, how long does it take for WelbeHealth services to start?
It usually takes about two weeks to apply. Once your application is approved, you can start at the beginning of the following month.
If I’m not satisfied, what is the process for disenrolling from WelbeHealth services?