Payment for ArchCare Senior Life (PACE) depends upon your eligibility for Medicare and Medicaid:
- If you are eligible for Medicare and Medicaid or eligible for Medicaid only and do not have a spend-down,* there is no cost to you for PACE covered services.
- If you are eligible for Medicare only, you will pay the Medicaid monthly rate on a private pay basis along with your Part D premium for prescription drug coverage.
- If you are not eligible for Medicare or Medicaid, you may enroll in PACE on a private pay basis, with your cost equal to the Medicare and Medicaid rates. You will also pay your Part D premium.
There is no additional cost to you for the authorized covered services in the ArchCare Senior Life (PACE) provider network. If you choose to access services on your own that are not covered or obtain services of a nonparticipating provider that are not authorized by ArchCare Senior Life (PACE), you may be subject to payment of these services.
*Spend-down, which is also known as surplus, is the difference between your monthly income and the monthly Medicaid rate.