Overview of Summit ElderCare® Benefits and Services

For services to be covered, they must be in accordance with the care plan and approved by the interdisciplinary care team. A more detailed description of the program and covered services is included in the Member Handbook/Evidence of Coverage.

Unlimited Prescription Drug Coverage Covered IN FULL
Geriatric Consultation and Support for Participants and their Caregivers Covered IN FULL
24-Hour Telephone Access to a Member of the Participant's Geriatric Team Covered IN FULL
In-Home Assistance with Personal Care Needs such as bathing, dressing, and meal preparations as needed. Covered IN FULL
In-Home Nursing, Rehabilitation and other Medical Services as needed. Covered IN FULL
Transportation to and from the Summit ElderCare Adult Day Center Covered IN FULL
Physical, Occupational, Recreational and other Therapies. Covered IN FULL
Nutrition Evaluations and Guidance Covered IN FULL
Medication Management Covered IN FULL
Medical Supplies and Equipment Covered IN FULL
Inpatient Hospital Care Covered IN FULL
Nursing Home Care Covered IN FULL
Personal Primary Care Team Covered IN FULL
Specialty Care Services such as Cardiology, Ophthalmology, Podiatry Covered IN FULL
Dental and Vision Care including Eyeglasses Covered IN FULL
Adult Day Health Care Services for Cognitive and Cognitively Impaired individuals Covered IN FULL
Laboratory, Diagnostic Testing Covered IN FULL
Other Services as prescribed by the interdisciplinary team Covered IN FULL

All services are recommended and approved in support of the Summit Eldercare mission, which is to enable older adults to remain in their homes and in their communities as long as medically and socially feasible.

* In some cases, there may be a monthly premium required based on your income or assets. All services must be provided by or authorized by the PACE Interdisciplinary Team (except emergency services). PACE participants may be held liable for costs for unauthorized or out of PACE program agreement services.

H2219 SE 2009 10 (pending approval)