Mrs. Velasquez cares for her frail elderly mother

Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North Carolina. She is worried that without additional support, her mother will need to go into a nursing home. Mrs. Velasquez asks you if there is any Medicare plan that might allow her mother to remain in the community rather than going into a nursing home. How should you advise Mrs. Velasquez?

There are Medicare Private Fee-for-Service (PFFS) plans that are not Medicare Advantage plans and are specifically designed for the frail elderly.

There are Programs of All-Inclusive Care for the Elderly (PACE) for frail elderly beneficiaries certified as needing a nursing home level of care but are able to live safely in the community at the time of enrolment.

Correct. Programs of All-Inclusive Care for the Elderly (PACE) are for frail elderly beneficiaries certified as needing a nursing home level of care but can live safely in the community at the time of enrolment. They include comprehensive medical and social service delivery systems, using an interdisciplinary team approach in an adult day health center, supplemented by in-home and referral services.

There are Medicare-Medicaid Plans (MMPs) that are available in all states and are designed for the frail elderly.

There are Medicare Cost Plans that are widely available nationwide that are designed for the frail elderly.

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