Prisma Health SeniorCare PACE – Lexington

Prisma Health SeniorCare PACE (Programs of All-Inclusive Care for the Elderly) is an all-inclusive health care program that offers a more personal way for frail seniors to receive health care. A personal care team will work with the patient and family members to decide what services best meet his or her needs. A range of services is available 24 hours a day, 7 days a week, 365 days a year.

Services may include:

• Primary and specialty medical care – Provided by Prisma Health SeniorCare PACE physicians. In addition, a variety of medical and surgical specialists are available to assure that all of the participant's health care needs are met.
• Women's care specialist services – Available when needed.
• Outpatient medical services – Laboratory tests, X-rays, and other tests are provided as part of Prisma Health SeniorCare PACE's program. Prescribed medicines, artificial limbs, durable medical equipment, vision care, psychiatric care and hearing services are available when needed.
• Hospital patient care – A broad range of semi-private medical, surgical, intensive care and coronary care programs and testing and support services required for appropriate care are provided by Prisma Health Richland Hospital.
• Home health care – Services provided in the home may include skilled nursing and doctor visits; physical, occupational and speech therapy; medical social services; home health aide; homemaker/chore assistance; and home delivered meals. Every participant is evaluated by a multi-disciplinary team and services received are based on this evaluation.
• Health-related services – Transportation, escort services and help with financial management are available.
• Adult day health care – Services such as nursing, social work, physical, occupational and speech therapy, nutritional and personal care are provided in our community-based centers. Meals and snacks, recreational and social activities and transportation can be provided.

All services offered through Prisma Health SeniorCare PACE are planned and authorized through an interdisciplinary team. The team assesses each participant individually, develops and implements the care plan, and monitors progress, modifying the plan as necessary.

Our program focuses on preventive care, maintenance of functional abilities and the early recognition and treatment of changes that can signal major problems. Access to a holistic care plan through Prisma Health SeniorCare PACE results in less-frequent hospitalization and decreased dependency on medications. This leads to a healthier and better quality of life for participating seniors because fewer health care resources are needed, so care is not as costly and participants can spend quality time enjoying one another and the activities of the centers.

The program pools funding sources to provide care based on the needs of individuals rather than reimbursement guidelines for traditional fee-for-service payment sources.

Once enrolled in the program, all services are provided by Prisma Health SeniorCare PACE rather than by individual providers under the traditional fee-for-service system. If the participant is eligible for Medicare and/or Medicaid, Prisma Health SeniorCare PACE takes the place of the standard Medicare and/or Medicaid programs. The only payment made by Medicare and/or Medicaid for the care the participant needs will be one payment each month to Prisma Health SeniorCare PACE.

Participants are eligible for the program if they are:

• At least 55 years old.
• Residents of:
  • Richland County
  • Lexington county
  • Greenville County
  • Anderson County (ZIP codes 29611, 29621, 29624, 29625, 29627, 29642, 29654, 29657, 29669, 29670, 29673, 29697)
  • Pickens County (ZIP codes 29611, 29635, 29640, 29642, 29657, 29661, 29671)
• Certified by the Department of Health and Human Services to have met the nursing home requirements for the State of South Carolina.
• Able to live in the community without jeopardizing their health or safety.

A referral may be made by a family member, physician or case worker by calling our Intake Department at 803-931-8175 (Midlands) or 864-522-1950 (Upstate). 

For additional information on our Prisma Health SeniorCare PACE program,email PACEProgram@prismahealth.org or call the numbers above.

Information also is available on the National PACE Association website.