ELIGIBILITY

We provide preventative, primary, acute and long-term care services so that older adults can continue living safely independently.

PACE (Program of All-Inclusive Care for the Elderly) eligibility is determined by specific PACE enrollment criteria as dictated by the State of Colorado and the Centers for Medicare and Medicaid Services.

To be Eligible for PACE, You Must Meet the Following Criteria:

• Be at least 55 years old
• Live in Senior CommUnity Care PACE service area (see below)
• Eligible for nursing home level of care as determined by the State of Colorado
• Able to live safely in the community with PACE services at the time of enrollment

Service Area

Senior CommUnity Care provides services to older adults within these Montrose and Delta County zip codes:

 

81401, 81403, 81410, 81413, 81415, 81416, 81418, 81419, 81425, 81428

Costs of Service

Senior CommUnity Care Pace is designed to utilize Medicare and Medicaid funds to provide Coordinated Healthcare, Social Engagement, Medication Management, Transportation, In-Home Assistance and other Specialty care options. All eligible seniors over 55 years of age are welcome to participate and we can assist in determining your qualifications for Medicare and Medicaid and assist in the application process. A private pay option is also available.

If you are eligible for Medicaid

...no cost to the participant.

If you are eligible for Medicare & Medicaid

...no cost to the participant.

If you are eligible for Medicare only

...participants pay the Medicaid portion plus Medicare Part D.

If you are not eligible for Medicare or Medicaid

...participants pay the self-pay rate.

While it is our goal to keep PACE participants in their residence

...if the PACE Interdisciplinary Team determines that a Medicaid eligible participant needs to live in an assisted living or nursing home, the participant will pay for these housing costs with their own income (less personal needs dollars). PACE will pay the difference between income and cost of assisted living or nursing home. This does not apply to participants who are paying PACE with private funds.