Eligibility and Cost

Who Qualifies for PACE?

Enrollment in PACE is voluntary. To enroll, you or your loved one must meet specific eligibility criteria. To qualify, you must:

  • Be age 55 or older

  • Live in the LIFE PACE defined service area

  • Meet the level of care requirements as determined by the Oklahoma Health Care Authority

  • Live in the community without jeopardizing your health or safety

Eligibility Questionnaire

We’ve provided the following questionnaire to help you get started. Fill it out to see if you meet the basic requirements, and someone from our team will reach out to continue enrollment if you do.

For more details, call our Care Coordinators at (918) 938-7653. For hearing impaired and TTY users, dial 7-1-1 and ask to be connected to (918) 938-7653. If you have questions or would like a Care Coordinator to contact you, fill out the contact form here.

Your PACE Program Costs are Covered

LIFE PACE is designed to combine a senior’s Medicare and Medicaid funds. When pooled together, they can provide creative, integrative, and holistic services to the participants. All eligible seniors (55+) are welcome to participate even if they do not receive Medicare or Medicaid. If a senior does not have Medicaid, we will help determine if they are eligible. Some seniors who are not eligible for Medicaid may pay for that portion out of pocket as well as a Medicare Part D premium.

Most of our participants enjoy PACE at low or no cost:

  • If you qualify for Medicare and Medicaid, all your supported health care costs are included.*

  • There is never a deductible or co-payment for any drug, services, or care approved by our PACE team.

  • If you do not qualify, but have Medicare, you may be charged a monthly premium.

*The only exception is if the individual lives in or moves to supportive housing (assisted living or nursing home), in which case there is a co-pay to that facility.

Our health plan provides you with the following benefits:

  • All Care Covered by Medicare and Medicaid

  • Prescriptions Delivered to Your Door

  • Primary Care Personalized for You

  • Social Services and Support Team

  • Transportation to Medical Appointments

  • Home Care so You Can Stay Independent

  • Day Center Services with Daily Activities

  • Support and Peace of Mind for Your Family

  • Physical, Occupational & Speech Therapy

  • Additional Necessary Services

Flexible Coverage! We provide support for your unique situation with these costs:

  • Medicaid

    No cost for all covered services

  • Medicare & Medicaid

    No cost for all covered services

  • Medicare Only

    Pay the Medicaid portion & monthly premium for Medicare Part D prescriptions

  • Neither Medicare nor Medicaid

    Pay the Medicaid portion & monthly premium for Medicare Part D prescriptions

Eligibility must be approved by our team, and participants may be fully liable for the cost of unauthorized out-of-network services.

LIFE PACE Explainer Video

Learn more about LIFE PACE and see an example of how the program works by watching this LIFE PACE explainer video.