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FAQs

    • What happens to my Medicare/Medicaid coverage if I join PACE?

    • General
    • Insurance

    When you enroll in PACE, you keep the benefits offered by Medicare and/or Medicaid and become eligible for additional benefits offered by Care Guide Partners PACE.

    If you need more information about how PACE works with Medicare or Medicaid, please give us a call at 270.600.2580, TTY: 270.600.2589.

    • What happens to my health insurance if I join PACE?

    • Insurance

    Once you join PACE, Care Guide Partners becomes your health insurance provider. Care Guide Partners also coordinates and pays for all of your necessary medical care. 

    Please note that Care Guide Partners PACE participants must receive all needed health care, including primary care and specialist physician services (other than emergency services), from Care Guide Partners or a person or company authorized by Care Guide Partners. Care Guide Partners PACE participants may be fully and personally liable for the costs of any out-of-network services not authorized by the Care Guide Partners PACE program.

  • PACE is a Medicare and Medicaid program, and what you pay depends on your financial situation.

    • If you qualify for Medicare, all PACE services are paid for by Medicare.
    • If you are also eligible for Kentucky’s Medicaid program, PACE services are covered at no additional cost.
    • If you do not qualify for Medicaid, you will be charged a monthly premium to cover the long-term care portion of the PACE benefit and a premium for Medicare Part D drugs.
    • If you do not have Medicare or Medicaid, you can pay for PACE privately.
    • There are no deductibles, copayments, or coinsurance for any care and services approved by our team of healthcare professionals.

    All Medicaid and Medicare services are covered through PACE, plus more. Participants receive all health care including primary and specialist services (other than emergency services) from Care Guide Partners PACE or an authorized contracted provider. Participants may be fully and personally liable for the costs of unauthorized, out-of-network care or services.​