A Clearer Path for Grand Junction Families

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HopeWest

For more information about the author, click to view their website: HopeWest PACE

Posted on

Jul 16, 2026

A Clearer Path for Grand Junction Families

For many families in Grand Junction, senior health coverage can feel like a new language. Medicare has multiple parts. Medicaid is called Health First Colorado. Long-term care follows different rules from routine medical care. Then a family hears about PACE and wonders whether it is insurance, a senior center, or a medical practice.

PACE—Program of All-Inclusive Care for the Elderly—is a coordinated healthcare model supported by Medicare and Medicaid. It serves eligible older adults who need a nursing-facility level of care but can continue living safely in the community. HopeWest PACE provides this model in Grand Junction, helping eligible Mesa County residents receive organized medical and supportive services while remaining at home.

Start With Three Basic Terms

Medicare

Medicare is federal health insurance primarily for people age 65 and older, along with some younger people who qualify because of disability or certain medical conditions. Depending on the coverage selected, it can help pay for hospital services, physician care, preventive services, and prescription drugs.

Medicare alone generally does not provide unlimited long-term custodial care, so an older adult may still need help paying for ongoing daily support.

Medicaid

Medicaid is a joint federal-state program for people who meet financial and other eligibility requirements. In Colorado, it is called Health First Colorado. For qualified members, it may cover healthcare and long-term services that Medicare does not fully cover.

PACE

PACE coordinates covered Medicare and Medicaid services through one program. Colorado describes it as a Medicare and Health First Colorado managed-care program intended to help eligible older adults remain in their homes and communities.

Why PACE Is Different From Ordinary Insurance

A conventional insurance plan mainly pays claims from separate providers. PACE also coordinates the participant’s approved care.

An interdisciplinary team assesses the person’s needs, develops a personalized care plan, and arranges approved services.

PACE may cover:

  • Primary and specialist care
  • Hospital and emergency services
  • Prescription medications
  • Home and personal care
  • Dentistry
  • Physical and occupational therapy
  • Nutrition and social services
  • Transportation to approved appointments
  • Nursing-home care when needed

PACE can also cover other services the team determines are needed to maintain or improve health. HopeWest states that its approved services are coordinated by a team that may include physicians, nurses, therapists, social workers, and other professionals.

As Jenny Marquez explains in this draft quote for approval, “Medicare and Medicaid questions can feel overwhelming when a family is already worried about a loved one. Our role is to explain the options clearly, look at the whole person, and help families understand what support may be available.”

What Does HopeWest PACE Cost?

The answer depends on the participant’s coverage.

Medicaid or Medicare and Medicaid

Medicare states that people with Medicaid do not pay a monthly PACE premium. HopeWest also explains that participants with Medicaid only, or both Medicare and Medicaid, have no PACE premium.

Medicare Without Medicaid

Someone who has Medicare but does not qualify for Medicaid may pay a monthly premium for the long-term care portion of PACE and a premium associated with Medicare Part D prescription coverage. Families should request an individualized cost explanation before enrolling.

Neither Medicare Nor Medicaid

Someone who qualifies clinically but lacks both programs may be able to enroll through private payment. Medicare notes that participants do not owe deductibles, copayments, or coinsurance for drugs, services, or care approved by the PACE team.

Prescription Coverage Requires Attention

PACE includes prescription drug coverage. Participants with Medicare receive Part D-covered drugs and other necessary medications through PACE.

A person enrolled in PACE should not join a separate Medicare Part D plan. Medicare warns that doing so will cause disenrollment from PACE.

Families should ask how prescriptions, refills, medication delivery, and urgent medication changes will be handled.

Who May Qualify for HopeWest PACE?

A prospective participant generally must:

  • Be at least 55 years old
  • Live in the HopeWest PACE service area
  • Meet Colorado’s nursing-facility level-of-care criteria
  • Be able to live safely in the community with PACE support

HopeWest serves specified ZIP codes in Mesa County, including Grand Junction and nearby communities. Families should confirm the current service-area list with the enrollment team.

“Nursing-facility level of care” does not mean the person must already live in a nursing home. It means the individual has health or functional needs that meet state criteria. PACE is intended to provide enough coordinated support for the person to remain safely in the community when possible.

What Happens During Enrollment?

HopeWest’s process begins with a call to an enrollment specialist, who explains services, eligibility, and possible costs. HopeWest states that it may also help prospective participants apply for Medicaid when appropriate.

The process can include home visits, a county functional assessment, team evaluations, a center visit, and development of a personalized plan. Enrollment begins after the applicant agrees and signs the enrollment agreement.

Participants generally receive primary care, specialist services, and other non-emergency healthcare through HopeWest PACE or authorized contracted providers. Unauthorized out-of-network services may become the participant’s financial responsibility, so families should discuss current doctors before enrolling.

Why This Matters in Grand Junction

Mesa County families often manage care across long distances. Appointments, medications, transportation, and home support can quickly become a major caregiving job.

HopeWest PACE operates from the Bacon Center for Living Your Best at 2754 Compass Drive in Grand Junction. Its listed services include coordinated healthcare, transportation, therapy, meals, social services, and caregiver support. The PACE Day Center operates Monday through Friday, and HopeWest lists 24-hour on-call accessibility for participants.

For older adults who no longer drive or who require multiple types of care, having transportation, medical appointments, therapy, meals, and social opportunities coordinated through the same program may reduce pressure on family caregivers.

Questions to Ask Before Enrolling

Families should request written explanations. Useful questions include:

  • What premium applies in this situation?
  • Can current doctors remain involved?
  • Which services require authorization?
  • What transportation is included?
  • How are emergencies handled?
  • When would coverage begin?
  • How can a participant disenroll?

The answers should reflect the applicant’s individual health needs, financial eligibility, location, and preferred providers.

Explore HopeWest PACE Through Seniors Blue Book

Visit the HopeWest PACE listing on SeniorsBlueBook.com to find current contact information, review available services, and connect with the Grand Junction enrollment team.

An initial conversation can help a family understand how Medicare, Health First Colorado, private payment, and PACE may apply without creating an obligation to enroll.

Frequently Asked Questions

Is PACE the Same as Medicare Advantage?

No. PACE is a separate Medicare and Medicaid program that combines medical, social, prescription, rehabilitation, and long-term support services through an interdisciplinary team.

Can Someone Have Medicare and Medicaid Together?

Yes. People who qualify for both are often called dual eligible. HopeWest states that participants with both programs do not pay a PACE premium.

Does PACE Replace Medicare Part D?

PACE provides prescription drug coverage. Enrolling in a separate Part D plan while participating in PACE can cause disenrollment from the program.

Can a Participant Keep Every Current Doctor?

Not necessarily. Except for emergency care, participants generally use HopeWest PACE or authorized contracted providers. Families should discuss important physician relationships before signing an enrollment agreement.

How Can a Grand Junction Family Start?

HopeWest PACE lists 970-255-7223 for enrollment questions and its center at 2754 Compass Drive in Grand Junction.

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HopeWest is a nonprofit healthcare organization in Western Colorado. We are committed to providing exceptional care through our dementia support, PACE, palliative care, hospice, and grief support programs.

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