Adult day care coverage under Medicare: Crucial information to grasp
The Programme of All-Inclusive Care for the Elderly (PACE) offers a comprehensive solution for seniors aged 55 and above who reside within the service area of a PACE organisation and can live safely in the community with their services.
To be eligible for PACE, individuals must not require nursing home-level care. This programme provides a variety of services, including primary care, doctors' visits, daytime recreational therapy, nursing, and more, all delivered locally.
However, it's essential to note that the costs for PACE can vary based on individual circumstances. To understand the exact benefits that may help with adult day care or community services, individuals should speak directly with their plan provider.
For those seeking to enrol in a PACE programme, Medicare's plan finder can be utilised to locate PACE plans in their area. It's crucial to remember that Original Medicare does not cover specific social care services such as long-term custodial care, personal care assistance, or homemaker services that are not medically necessary.
Additionally, Original Medicare does not cover meal deliveries, shopping services, cleaning services, help with daily activities when it is the only care a person needs, or 24-hour home care services.
By choosing PACE, seniors can enjoy a more integrated, community-based approach to care, ensuring they maintain their independence and quality of life for as long as possible. For more information, speak with a PACE organisation or consult Medicare's plan finder.
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