Paying for PACE.

The cost of the PACE program depends on the participant’s Medicare and Medicaid eligibility.

• For participants with Medicaid or both Medicare and Medicaid, services are covered 100%.
• For those who are not Medicare-eligible and who are not covered by insurance accepted by PACE, there is a monthly, all-inclusive fee.
• Participants may also pay privately for PACE services.

There is never a deductible or copayment for any drug, service or care approved by the PACE team. However, participants may be fully and personally liable for the costs of unauthorized or out-of-network services.

A participant must receive all needed healthcare, including primary care and specialist services (other than emergency services), directly from Chapters Health PACE or a contracted provider of Chapters Health PACE. Participants may be fully and personally liable for the costs of unauthorized or out-of-PACE program agreement services.

For additional information on PACE payment requirements, including a side-by-side comparison of our costs compared to skilled nursing facilities or in-home care, please call 1-877-851-1647.