Individuals who meet the following requirements are eligible to participate in UESP/PACE
55 years of age or older
Reside in our service area: Back Bay (02116), Beacon Hill (02108), Brookline (02445), Dorchester (02121,02122, 02124, 02125), Downtown (02114), Fenway (02115), Financial District (02110) Hyde Park (02136), Jamaica Plain (02130), Mattapan (02126), Mission Hill (02120), North End (02109), Roslindale (02131), Roxbury (02118, 02119, 02120), South Boston (02127, 02210), South Cove (02111) and South End (02118)
Certification by the state screening agent that the applicant meets nursing facility clinical criteria.
Must have the ability to safely live at home with UESP support services.
PACE is a Medicare/Medicaid funded program. Participants who are not Medicaid (Mass Health) eligible have the option to private pay. Our enrollment specialists can discuss with you the enrollment process and the payment options including submitting an application for Medicaid if necessary.
We accept Medicare, Medicaid, (Mass Health) and private pay. All covered PACE healthcare and social support services are covered fully, without a copayment or out – of – pocket expenses.
For those eligible for Medicaid, there may be a monthly “spend down” due to financial criteria. The private payment or spend down amount is not affected by any change in the participant’s health status. Please talk to the enrollment team about your particular situation.
As an insurer, Upham’s Elder Service Plan pays for all medically necessary services covered under Medicare and Medicaid regardless of your original insurance, when approved by your health care team.
Are you ready to enroll?
We look forward to hearing from you!
Last updated on September 30th, 2022 at 07:10 pm