Eligibility and Cost

Participants in PACE must meet eligibility requirements, and most pay little or nothing for the program. 

To qualify for InnovAge PACE, you must be

  • At least 55 years old
  • Eligible for nursing facility level of care as determined by the state in which you live;
  • Able to live safely at your home and in your community with support; 
  • Living in an area served by InnovAge.

For more details, and to talk with one of our senior care experts, call us today at 844-211-6178 TTY:711 or complete a brief assessment and we'll get back to you by phone or email. 

Nursing Facility Level of Care
"Level of care" or "nursing home eligibility" refers to the amount of support or help you need to live safely in your home. It's mostly defined by looking at what challenges you might have with daily activities.

Each state has its own requirements for clinically certifying someone as eligible for nursing facility level of care. As part of the PACE enrollment process, InnovAge's team of experts may assist you with the functional eligibility process, but will not determine your functional eligibility. 

In general, this includes reviewing how much help, if any, you need with daily self-care tasks like walking, taking medications, eating, bathing, toileting, or personal hygiene. These are also called activities of daily living (or ADLs).

Cost of PACE
With PACE, there are no lifetime limits and no deductibles, or copayments (copays), for any service, medication, or care approved by your interdisciplinary care team

What you pay for PACE depends on your financial situation. Most people enrolled in the program have Medicare and Medicaid, or are eligible for both, and pay little or nothing. 

If you are:Your Out-of-Pocket Cost
Eligible for MedicaidNo premium*
Eligible for Medicaid and MedicareNo premium*
Eligible for Medicare only

Pay Medicaid portion, plus monthly premium for Medicare Part D 

Not eligible for Medicaid or MedicareSelf-pay rate

*If you live in or move to supportive housing (assisted living or nursing home), there is a co-pay to that facility. Also, some states require a share of cost fee if your income exceeds the Medicaid threshold.  

Some participants choose to pay privately for PACE, though they still need to meet all eligibility requirements for their state.

For more information about eligibility and cost of PACE, talk to one of our senior care experts today by calling 844-211-6178 TTY:711. 

Page Updated 10/16/23

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