FAQs

Day center attendance is based on individual needs and can range from once a week to five days, Monday through Friday.

To disenroll from the program at any time and have such disenrollment be effective the first day of the month following the date the PACE organization receives the participant’s notice of voluntary disenrollment as set forth in § 460.162(a).

The services provided by WellQuest PACE are fully covered by Medicare and Medicaid. There are no copays or out-of-pocket expenses for participants who are eligible for both Medicare and Medicaid.

A participant is required to pay a premium if:

• He/she is not eligible for Medicaid.
• If he/she is not eligible for Medicare and Medicaid, the participant will pay a premium equal to the Medicare and Medicaid premium.

All healthcare services needed by the participant, and approved by the Interdisciplinary Team are covered by the PACE Program. Participants are responsible for the cost of unauthorized, out-of-program services. WellQuest PACE provides Medicare Part D coverage for prescription medication. Participants who enroll in a separate Medicare Advantage Plan will become ineligible for continued enrollment in the PACE program.

WellQuest PACE provides all medically-necessary transportation to the WellQuest PACE center for activities or medical appointments.

Yes, because all healthcare services are provided on-site by WellQuest PACE. If you need to see a specialist, our medical team will refer you to one within our WellQuest PACE network of providers.

Family involvement is essential to success in the PACE program. The PACE program is intended to work in partnership with the family, not in place of the family.