Graphic of elderly gentleman putting money in a piggy bank - PACE program cost

Pricing and Cost of Care

No extra cost for the care you need

MediCare and Medi-Cal reimburse West PACE directly for your care. When you apply to West PACE, our team can help you apply for MediCare and Medi-Cal if you don’t already have it.

Pricing and
Cost of Care

Graphic of elderly gentleman putting money in a piggy bank - PACE program cost

With West PACE, there’s no extra cost for the care
you need

Medicare and Medi-Cal reimburse West PACE directly for your care. When you apply to West PACE, our team can help you apply for MediCare and Medi-Cal if you don’t already have it.

Your PACE program costs are covered

If you qualify for MediCare and Medi-Cal, all your supported health care costs are included.

There is never a deductible or copayment for any drug, service, or care approved by our PACE team.

If you do not qualify, but have MediCare or Medi-Cal, you may be charged a monthly premium.

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We are dedicated to providing you with the senior care services you need. Your ability to cover costs will never keep you from receiving our support.

Our health plan provides you with the
following benefits:

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All care covered by MediCare and Medicaid

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Additional necessary services

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Prescriptions delivered to your door

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Primary care personalized for you

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Social services and support team

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Transportation to medical appointments

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Home care so you can stay independent

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Daycenter services with daily activities

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Support and peace of mind for your family

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Physical, occupational & speech therapy

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Once enrolled in PACE, all eligible medical care services are provided by the program, so participants require no further financial assistance.

What are the income limits?

To enroll in PACE, individuals must meet specific medical and financial requirements. Many participants join PACE at low or no cost. What you pay for PACE depends on your financial situation.

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Flexible coverage

We provide support for your unique situation with these costs:

Medical

No cost for all covered services

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Medi-Cal & MediCare

No cost for all covered services

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MediCare Only

Pay the Medi-Cal portion & monthly premium for MediCare Part D prescriptions

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Neither Medi-Cal nor MediCare

Pay the Medi-Cal portion and monthly premium for MediCare Part D prescriptions

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*Eligibility must be approved by our team, and participants may be fully and personally liable for the cost of unauthorized out-of-network services.

Who is eligible for PACE?

Feel free to get in touch if you’d like to learn more. We’re here to talk through your options.

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