Frequently asked questions about the PACE Southeast Michigan program include eligibility, cost and transportation.
What does “PACE” stand for?
PACE stands for “Program of All-inclusive Care for the Elderly.” PACE is a comprehensive, coordinated health care program sponsored by Medicare, Medicaid and private funds, which provides medically necessary care and services.
What is the difference between PACE Southeast Michigan and a nursing home?
PACE Southeast Michigan provides a nursing home alternative to eligible seniors who wish to stay in their homes as long as possible. PACE Southeast Michigan is focused on preventive care and services in your home, community and the day health center.
How do I qualify for PACE Southeast Michigan?
To be eligible for our program, you must be 55 years of age or older, certified by the State of Michigan to need nursing home care, able to live safely in the community at the time of enrollment with the support of PACE Southeast Michigan and live in the PACE Southeast Michigan service area.
Are people who do not qualify for Medicaid eligible for PACE enrollment?
Yes. If a person meets the income and assets limits to qualify for Medicaid, the program pays for a portion of the monthly PACE premium; Medicare pays for the rest. Individuals who do not qualify for Medicaid are responsible for the portion of the monthly premium Medicaid would pay. PACE program staff can help determine a person's Medicaid eligibility.
How often will I go to the day health center?
Most PACE Southeast Michigan participants come to our day center two or three days a week, while others may attend five days a week or only a few days a month. Your care team will help create a plan with you to determine what is best for you and your individual needs.
Are prescription drugs and office visits covered? Will I have co-pays?
All prescription and non-prescription drugs, along with all office visits deemed necessary by the interdisciplinary team, are covered 100 percent by PACE Southeast Michigan. As long as you are enrolled with PACE Southeast Michigan, you will never experience an out-of-pocket cost for health care.
What happens if I have a health problem at night?
PACE Southeast Michigan makes sure you have the necessary care you need 24 hours a day, 7 days a week, 365 days a year. You will never be without access to assistance, day or night. Our registered nurses, physicians and center administrators are only a phone call away.
How do I get to PACE Southeast Michigan?
Once you are enrolled, transportation is provided by PACE Southeast Michigan to the day health center, appointments to medical specialists and activities arranged and approved by our interdisciplinary team. A specially equipped bus picks you up at home and brings you to the day health center. Families may also choose to transport their loved ones to PACE Southeast Michigan.
What happens if I want to leave PACE?
You are free to disenroll from PACE and resume your benefits in traditional Medicare and Medicaid programs at any time.
Stay in the home you love, see us for the care you need.
Our goal is to provide our frail senior community members with the care, medical treatment and support they need to achieve the highest quality of life – while staying independent as long as possible. Our elder care experts offer an alternative to nursing home placement that features comprehensive, coordinated care for a senior’s medical, social and physical needs, while also providing peace of mind for family caregivers.
For more information about PACE Southeast Michigan or to speak to one of our elder care representatives, please call (855) 445-4554 or submit our contact form.