Program of All-Inclusive Care for the Elderly (PACE)

The Program of All-Inclusive Care for the Elderly (PACE) in Arizona is available to you, as a resident of Arizona, to help you with your health care and end of life needs. The PACE program is aimed at you if you are a senior citizen who, without PACE services, would need to stay in a nursing home full-time in order to receive the care you require. Your PACE program prevents this by allowing you to receive the care you need from either the comfort of your own home or a local health center. PACE eligibility allows you to benefit from programs that partner with Medicare and Medicaid to provide you with the help and care you need. Enroll in PACE even if you have Medicare and/or Medicaid already, as this vital program can help fill in gaps in your care. There are many benefits to your overall health when you apply for PACE and are accepted. Therefore, understanding the program costs, benefits and criteria is the first step to improving care options for you as a senior. If you are eligible for PACE in AZ, you can continue the investigate options in your area. Complete the PACE application process to find a program that will fit your family’s needs and is convenient for you or your elderly loved one.

What is the Program of All-Inclusive Care for the Elderly (PACE) in Arizona?

The AZ Program of All-Inclusive Care for the Elderly (PACE) is a Medicare program that offers healthcare needs for anyone 55 years old or older who is considered frail enough to require care at a nursing home. Your PACE program will use an interdisciplinary approach to your care in an adult day health center. PACE services supplements this by also providing you with in-home services and referral services on a need-by-need basis.

Who is eligible for PACE services in Arizona?

PACE eligibility in Arizona requires that you meet the following conditions:

  • You must be 55 years or older

  • You must live in an area that a PACE plan serves

  • You must be eligible for nursing home care

  • You be able to live safely in the community

If you qualify for PACE and you decide to join one of their plans, you must agree to give up any other sources of healthcare you currently have. Your Pace health care program will take on the responsibility of managing your care in an individualized manner. You can end your PACE program participation if you decide you no longer need or want the services. To qualify for PACE services, you cannot have a Medicare Advantage Plan, a Medicare Plan D or a Medicare Prepayment Plan. However, you can have Medicare Part A or Medicare Part B.

Note: Unlike Medicare, PACE services are specifically designed to help seniors with End Stage Renal Disease (ESRD). Therefore, if you have ESRD you can qualify for Pace service even if you do not qualify for other types of medical insurances through the government.

Find information about eligibility, cost and coverage in our comprehensive guide download.

How do you enroll in the PACE Program in Arizona?

If you or a loved one is eligible for PACE in Arizona and you decide to enroll in Pace, you must first determine what plans are available in your area of Arizona. When you decide you want to enroll, complete the PACE application process to begin taking advantage of the many benefits all-inclusive care can provide. Once you complete the application process, you will be notified of your denial or approval for benefits. If Arizona PACE accept you, your enrollment in the PACE program will continue until the time of your passing or you decide to cancel your plan.

PACE Services in Arizona

If you apply for PACE in AZ and are accepted, the services you will receive are the same as the ones Medicare and Medicaid offer. The Program of All-Inclusive Care for the Elderly also covers anything it deems medically necessary to improve and maintain your health. If your healthcare profession decides you need additional services, Medicare and Medicaid do not normally offer, your Arizona Pace program may still cover them. They also provide end of life care, such as hospice, to any patient that needs it. If you or a loved one is in need of all-inclusive care, download our comprehensive guide to find out more about how to qualify, apply and enroll.

Your PACE program benefits, as part of your benefits package, must create and implement a plan that will provide for your medical and healthcare needs every day of the year. Depending on where you require your PACE services, such as your home or your doctor’s office, PACE must make accommodations for them.

Some of the more common PACE services they will cover under your plan include:

  • Dentistry

  • Home care

  • Hospital care

  • Occupational and Physical Therapy

  • Emergency Services

Program of All-Inclusive Care for the Elderly (PACE) also covers prescription drugs, so if you have Medicare but do not have Medicare Part D, their prescription Drug Coverage Plan, you can still get your prescriptions covered by PACE. However, for your prescriptions to qualify for PACE eligibility, your PACE interdisciplinary team must authorize it, and then they must include your prescriptions in your coverage plan.

The Cost of PACE

When you initially enroll in PACE in AZ, you pay depends on what kind of insurance coverage you already received. If you have Medicaid, you will not have to pay a monthly premium. If you have PACE services as well as Medicare, you will have to pay monthly premiums. You will never have to pay a deductible or a copayment, no matter what kind of coverage you have if you qualify and are accepted into government provided all-inclusive care exclusively. The amount you pay will vary depending on what services and medications you require.

Who Is Eligible to Get Health Services in Arizona?

Residents must meet the eligibility requirements established by the Arizona Health Services Department in order to quality for programs such as Medicaid and Medicare. Your income and age might be significant factors regarding your eligibility, but requirements vary. To learn more about AZ medical assistance, download our guide today.

What Kinds of Health Care Services Can I Receive in Arizona?

Arizona health care services differ significantly in regards to price and coverage. A resident’s eligibility might also play a role in the cost of each service. To learn about how you can apply for these health services, please download our guide now.