Who Pays for Piedmont Health SeniorCare Services?

If you are eligible for Medicare and Medicaid, all services are covered at no additional cost. For individuals who do not have both Medicare and Medicaid, there may be costs associated with this program. We also accept private pay clients.

Additionally, participants must receive all needed health care, including primary care and specialist physician services (other than emergency services) from the PACE organization or from an entity authorized by the PACE organization. PACE participants may also be fully and personally liable for the costs of unauthorized or out-of-PACE program agreement services.

Enrollment

Enrollment is easy. One of our intake coordinators can meet the senior participant or caregiver at home. The specialist assesses eligibility and schedules a visit to the Day Health Center. At the Center, you will meet our care team. Each participant receives a medical evaluation and a plan of care. Piedmont Health SeniorCare completes the enrollment paperwork for you. If a participant decides to leave the program, they may disenroll at any time.

Eligibility

You are eligible for Piedmont Health SeniorCare services if you are:

  • Age 55 years or older.
  • A resident of Alamance, Caswell, Chatham, Lee, and Orange counties.
  • Nursing-home eligible.
  • Able to live safely in the community at the time of enrollment with the provision of PACE services.

The Typical Participant

The Typical Participant According to the National PACE Association, the typical participant has the following characteristics:

  • The average age is 80 years.
  • 75% of participants are female
  • The average participant has 7.9 medical conditions (many chronic)
  • 2.7 limitations in Activities of Daily Living such as grooming, feeding and bathing
  • 49% of participants have been diagnosed with some form of dementia
  • 93% of participants remain at home
  • The majority of our participants are Medicare/Medicaid-eligible.