Most participants receive PACE services at no cost to them. If you have Medi-Cal or a combination of Medicare and Medi-Cal with no share of cost, then PACE services are free. If you have Medi-Cal with a share of cost, you will pay this monthly. If you are eligible for Medicare but not Medi-Cal, you will pay Medi-Cal and Medicare Part D premiums. If you are not eligible for Medicare or Medi-Cal, you may pay the self-pay rate for PACE.
There is never a deducible or co-payment for any drug, service or care approved by the PACE team. PACE participants can only access medical services through the PACE network with prior approval from the WelbeHealth Interdisciplinary Team except in an emergency. PACE participants may be fully and personally liable for the costs of unauthorized or out-of PACE program agreement services.