Eligibility Checklist​

Complete this checklist to see if Bluegrass PACE Care is right for you.

Eligibility Checklist Form

*For those with Medicare only, private insurance, or private pay, contact the PACE Center to discuss associated fees.

**If you are covered by both Medicare and Medicaid, or by Medicaid only, services are 100 percent covered with no copayments or deductibles. 

Participants may not have a Medicaid Waiver while enrolled in PACE.

Bluegrass PACE Care

Bluegrass PACE Care​
859.687.9410​

866.422.6722​

TTY: 800.648.6056​

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