PACE

Benefits

A brief summary of CalOptima Health PACE covered benefits.

CalOptima Health PACE offers you many services and benefits, covered by Medicare and Medi-Cal. Services can be in your home, the community or at the PACE Center. Your own Interdisciplinary Team (IDT) will work with you and your family to create an individual care plan.

No deductibles, no lifetime maximums

Professional services

  • Primary care doctor visits
  • Medical specialist visits
  • Hospital and emergency care
  • Rehabilitation services
  • Immunizations
  • Prescribed drugs
  • Laboratory services
  • Nursing facility care
  • End-of-life care

Day center services

  • Nutritious meals
  • Therapeutic recreation
  • Exercise activities
  • Case management
  • Alternative Care Settings

Other services and supplies

  • Hearing exams and hearing aids
  • Foot care
  • Basic dental
  • Home health services
  • Home care services
  • Medical supplies
  • Wheelchairs, walkers, crutches, etc.

Vision care

  • Routine eye exams
  • Eyeglasses
  • Corrective lenses after cataract surgery

Transportation

  • To and from CalOptima Health PACE
  • Emergency transportation
  • Non-emergency medical transportation

Behavioral health services

  • Outpatient mental health services for mild to moderate conditions
  • Substance abuse services

Services must be either pre-approved or obtained from specified doctors, hospitals, pharmacies and other health care providers who contract with CalOptima Health PACE. Program participants will be responsible for any unauthorized or out-of-network services.

Prior authorization is never required for emergency, preventive or sensitive services.

See your PACE enrollment agreement for more details.

About PACE Learn about our PACE Center.

Your Path to PACE brochure  A step-by-step guide to the PACE enrollment process.

Read for details.

At Your PACE  Read for details.

Contact Us
  • PACE Customer Service
    You can contact us Monday through Friday from 8 a.m. to 4:30 p.m.
    1-714-468-1100 Local
    1-844-999-PACE (7223) Toll-free
    1-714-468-1063 TDD/TTY

  • Sign Up for PACE
    1-844-999-PACE (7223) Toll-free
    Enrollment information
Visit Us
  • Visit our office Monday through Friday from 8 a.m. to 4:30 p.m.
    Walk-ins welcome.
    We are closed on certain holidays.

    13300 Garden Grove Blvd.
    Garden Grove, CA 92843

  • We speak your language
    Request interpreter services
New PACE Members
Forms and Documents

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H7501_22WEB001_M (Approved 3/9/2022)

Date Revised January 21, 2022