Eligibility
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Do You Qualify?
Do you or your loved one qualify for all-inclusive care?
Talk to an enrollment specialist today by calling (619) 981-PACE (7223) and ask about how to qualify, or fill out our easy online evaluation form.
Who is Eligible?
Enrollment Process
Program Cost
Service Areas
Who is Eligible?
To be eligible to join, a participant must:
- Be 55 years or older
- Live in a designated PACE service area
- Live in the community safely
- Meet the level of care requirements as determined by the California Department of Health Care Services
To qualify for PACE, individuals must meet certain financial requirements. For more details, speak with one of our PACE care experts by calling (619) 981-PACE (7223) TTY: (833) 530-9622.
Enrollment Process
- A Certified Enrollment Specialist will meet you at your home for a detailed overview of the PACE program and services and to conduct an assessment for your program eligibility.
- A visit to our PACE center will be scheduled for you to meet the provider, nurses and staff.
- You will receive a no-cost interdisciplinary team assessment during this visit to complete a Level of Care application for the California Department of Health Care Services (DHCS).
- Upon approval from DHCS, we will finalize your enrollment paperwork, and you will become an official FHCSD PACE participant!
Program Cost
PACE is a health plan that takes the place of Medi-Cal, Medicare or both, depending on eligibility status.
As a program participant, you agree to accept all services from FHCSD PACE and its contracted providers.
PACE participants may be fully and personally liable for the costs of unauthorized or out-of-program agreement services, except for emergency services.
If you… |
Cost |
|---|---|
| Have, or are eligible for, Medi-Cal only | No out-of-pocket costs |
| Have, or are eligible for, Medi-Cal and Medicare (dual eligible) | No out-of-pocket costs |
| Are eligible for Medicare only | Share-of-cost including Part D medications |
| Are not eligible for Medi-Cal or Medicare | Self-pay rate |
Service Areas
Service Areas in San Diego County
