What is the Cost for PACE Participants?

The PACE model is typically funded by Medicare and Medicaid to deliver necessary care. All your necessary healthcare services may be provided if you are covered by Medicare and/or Medicaid. If you qualify only for Medicare, there is a set monthly premium you will be asked to pay. Private pay seniors who aren’t covered by Medicare or Medicaid, but choose to pay for our services, may also be accepted. Upon enrollment in the program, the participant agrees to receive all health care services through Senior TLC’s health care network of providers. Participants may be liable for the cost of medical services from an out-of-network provider or without prior authorization with the exception of emergency services. PACE is a voluntary enrollment program; a participant may dis-enroll at any time.

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As a PACE participant, all health care services must be provided or arranged by your PACE team (except for emergency services). Participant may be fully liable for the cost of medical services from an out-of-network provider or without prior authorization (except for emergency services). Because PACE provides and is responsible for all of your care, you may be held financially responsible for any care you receive outside the program that is not approved by the PACE interdisciplinary team.​

Your healthcare needs could be completely covered with little or no out-of-pocket cost. For more information, give us a call today for a free estimate. 704-874-0600.