Medicare’s GUIDE Program, delivered by Isaac Health in all 50 states

Get medical care, caregiver support, respite services, and personalized care navigation – all covered by Medicare.

What is the CMS GUIDE Program?

The Guiding an Improved Dementia Experience (GUIDE) program is a Medicare program that supports Medicare beneficiaries living with dementia, as well as their families. As a member of our GUIDE program, you and your loved ones will have access to a dedicated medical team, caregiver support, and respite care, among other supports and services fully covered by Medicare.

What You Get Receive comprehensive dementia care and support as part of your Medicare benefits

Around-the-clock support

Isaac Health is always there for you and your family. As a member of our GUIDE Program, you will have access to dementia-trained specialists and support staff through our 24/7 support line.

A personal care navigator

Your care navigator will be your personal guide through the whole journey and will check in with you or your loved one regularly. They can also make referrals to community support organizations.

Home safety assessment

A dementia care specialist can visit your home to review safety, identify potential risks, and help create a secure environment that supports independence and prevents falls.

A dedicated medical team

Our specialist doctors and nurse practitioners will perform a detailed assessment upon enrollment in GUIDE and at least once a year. Your medical team will create a personalized treatment plan for you or your loved one.

Caregiver support

We host caregiver training sessions for our GUIDE members. Our specialized caregiver coaches also provide 1:1 sessions to go over what dementia is and what it may mean for your family. Additionally, we run support groups and group activities for members and families.

Respite care

Everyone deserves to take a break. Respite care allows caregivers to take a temporary break from caregiving, while a trained home care aide comes to your home to look after your loved one. Through our GUIDE Program, you will have 20 annual sessions for 4-hour in-home respite care.

Why GUIDE Helps GUIDE is designed for individuals living with dementia and their family caregivers

1. You (or your loved one) may be eligible for GUIDE if…

   • You have traditional Medicare (parts A & B) as your primary insurance
   • You have a dementia diagnosis or probable dementia (Isaac Health can help provide a diagnosis as needed)
   • You are not a long-term nursing home resident or a member of a PACE program

2. You can still get access to help and most GUIDE services from Isaac Health if…

   • Your primary insurance is Medicare Advantage, Medicaid, PACE, or other insurance, or:
   • You do not have insurance coverage

Testimonials

Since enrolling in the GUIDE program through Isaac Health we have received exceptional assistance both for my wife with her Alzheimer's and myself as her caretaker. I can honestly say I don't know where she and I would be today if I had not enrolled with them and received the physical and psychological help they have given us. This is a godsend of a program. If it is available to you, reach out and take advantage of what it can do for you.

Caregiver Enrolled in July 2024

Isaac Health's GUIDE Program is designed to help you live your best life and get you the support you need.

Step 1 Check your eligibility

Our care team will help you determine if you or your loved one qualify for the Medicare GUIDE Model and guide you through the enrollment process — no referral needed.

Step 2 Receive a personalized care plan

Your Isaac Health care team will create a customized dementia care plan based on your needs and goals. You’ll also be paired with a dedicated Care Navigator who helps coordinate your services and supports you every step of the way.

Step 3 Get support for caregivers

If you have a caregiver, they’ll have access to training sessions, one-on-one coaching, and support groups to build skills and find emotional support.

Step 4 Access ongoing treatment and care

Receive regular check-ins, memory assessments, and coordinated care from a team specializing in dementia and brain health. We’re here to help you stay healthy and supported as needs change over time.

Frequently Asked Questions

• Who is eligible for the GUIDE Program?

  To be eligible for the GUIDE Program, you must be enrolled in Medicare Parts A and B with Medicare as your primary insurance. You are not eligible for GUIDE if 1) your primary insurance is Medicare Advantage or another Medicare health plan (including Special Needs Plans and the Program of All­ Inclusive Care for the Elderly), 2) you are enrolled in Medicare hospice benefit, 3) if you are a long­-term nursing home resident (defined as a nursing home stay of 4 months or longer and not covered under the Medicare skilled nursing facility benefit), or 4) you are enrolled in a PACE program.

If you are not enrolled in traditional Medicare but are still interested in receiving care for yourself or a loved one, reach out to our care team at (888) 818-2059 to learn more about how Isaac Health’s other services can support you and your family. We work with most major insurance plans for non-GUIDE services, which include assessment, treatment, and care management for dementia.

• What does the GUIDE Program cost me?

  If you are eligible for GUIDE, you will be fully covered by Medicare for all services you receive through the program.

• Why Isaac Health for GUIDE?

  Isaac Health is a leading specialist medical group dedicated to compassionate, expert care for people living with dementia and other brain health conditions. Led by Joel Salinas, MD, MBA, MSc, FAAN—a nationally recognized behavioral neurologist—our team delivers cutting-edge, evidence-based care rooted in the latest research and best practices. Our GUIDE program is available in all 50 states.

Let’s help you get the support you deserve.

Comprehensive dementia care fully covered by Medicare.