Frequently Asked Questions and More

Our centers are open from 8am – 4pm, Monday to Friday. Most participants arrive between 9am and 10am and leave between 2pm and 3pm.

Attendance is based on individual needs and preference and can range from once a week to several days a week. Some of our participants come for food, activities and social interaction; others come for healthcare needs only.

Participants can enjoy a daily nutritious breakfast and lunch at our Adult Day Health Centers. We also provide meal delivery to participants when prescribed by the care team.

Florida PACE Centers provides transportation between home and your adult day health center, as well as to and from specialist visits and other medically necessary activities. Transportation is a key benefit of this program. We make life easier on families.

To be eligible for PACE, an individual must:

• Be age 55 or older
• Live in our service area
• Want to live in the community but need enough assistance to qualify for nursing home care
• Be able to live safely in the community with our support

Participants with Medicaid or a combination of Medicare and Medicaid have zero premiums, copays, or out-of-pocket expenses.

If you have Medicare only, there is a small monthly payment.

Private pay options are also available. If you live outside of one of our eligible zip codes, you are responsible for payment – even if you have Medicaid.

Florida PACE Center participants may be fully and personally liable for the costs of unauthorized or out-of-PACE program agreement services.

Individuals who do not qualify for Medicaid can still enroll in PACE, but are responsible for the portion of the monthly premium Medicaid would pay. If you are unsure about your Medicaid eligibility, please contact us. If you are not eligible for Medicare or Medicaid, Florida PACE Center staff can discuss a private pay rate with you.

Yes! Our goal is to keep our participants healthy and living in the community for as long as possible. Preventative care is essential to achieving that goal. We encourage physical activity, healthy nutrition, regular checkups and other good lifestyle habits that help PACE participants live at home safely.

Yes. The most important aspect of PACE is the coordination of health services among the onsite care team. You can get most of the care you need from you Florida PACE Centers care team.

PACE participants have access to nurses and medical teams 24/7 but must call 911 for emergency transportation to a hospital. As soon as we are notified of a participant’s hospitalization, we assist in with paperwork and coordinate discharge plans to ensure a seamless transition from hospital to home.

Dental coverage includes cleanings, routine exams/procedures, and dentures. Vision coverage includes routine exams and glasses (as medically necessary).

Yes. All prescription drugs deemed medically necessary by your care team are paid for by Florida PACE Centers.

The goal of Florida PACE Centers is to keep participants in their own home for as long as possible. However, if at some point it is in the participant’s best interest to enter a nursing home, they will continue to be enrolled as a Florida PACE Center participant. We will pay for all care delivered under the supervision of our care team.

A PACE participant has the right to disenroll at any time and resume care with the providers of their choice. Disenrollment occurs on the 1st of every month. (For example, if a participant requests to disenroll on June 20th, their official date of disenrollment from the program will be July 1st.)

Transportation to and from the Adult Day Health Centers, as well as to and from medical appointments, is provided at no cost to eligible participants.

We provide complete healthcare management and coordination, which means more peace of mind for you. That includes 24/7 access to medical professionals, respite care at our Adult Day Health Centers, medication management, and coordination of all specialty care. All of this allows you to spend more quality time with your loved one, without the worries.

These services are only provided if deemed medically necessary by your care team.

Florida PACE Center participants have access to all medically necessary care as determined by your primary care provider and your care team. This means that the services you receive are needed to prevent, diagnose, correct, or cure any conditions that cause acute suffering, are life threatening, result in illness, interfere with daily living, or threaten some significant disability. When a participant needs to access covered services, their care team will select from the Florida PACE Center provider list and help make the arrangements, including transportation, so the participant receives the needed care. Participants who are dissatisfied with specific providers should call their care team and request a change. The care team will select a new provider in time for the next scheduled or requested appointment. Our provider list is available upon request.

Here is a general overview of Florida PACE Centers participants rights. For a more detailed list, please request more information using the form below.

• You have the right to be treated with respect.
  You have the right to be treated with dignity and respect at all times, to have all of your care kept confidential, and to receive compassionate, considerate care.
• You have the right to protection against discrimination.
  Discrimination is against the law. Florida PACE Centers will not discriminate against you because of your race/ethnic origin, religion, age, sex, mental or physical ability, sexual orientation or the source of payment for your healthcare (for example, Medicare or Medicaid).
• You have the right to information and assistance.
  You have the right to get accurate, easy-to-understand information and to have someone help you make informed healthcare decisions.
• You have the right to a choice of providers.
  You have the right to choose a healthcare provider within the Florida PACE Centers network and to get quality healthcare.
• You have the right to access emergency services.
  You have the right to access emergency services when and where you need them without Florida PACE Centers approval.
• You have the right to participate in treatment decisions.
  You have the right to fully participate in all decisions related to your healthcare. If you cannot fully participate in your treatment decisions or you want to have someone you trust help you, you have the right to choose that person to act on your behalf.
• You have the right to have your health information kept private.
  You have the right to talk with healthcare providers in private and to have your personal healthcare information kept private as protected under State and Federal laws. You also have the right to look at and receive copies of your medical records.
• You have the right to file a complaint.
  You have a right to complain about the services you receive or that you need and don’t receive, the quality of your care, or any other concerns or problems you have with your Florida PACE Centers assigned center. You have the right to a fair and timely process for resolving concerns with Florida PACE Centers.
• You have the right to leave the program.
  If, for any reason, you do not feel that Florida PACE Centers is what you want, you have the right to leave the program at any time.

Participants must receive all health care, primary care and specialist physician services—other than emergency services—as authorized by PACE. Participants are fully responsible for costs of unauthorized services.