Dementia caregiving is a job no one trains for.

A care expert from Eli Health calls within one business day (or the next Monday if submitted over a weekend). The call takes about 15 minutes. We confirm eligibility, answer questions, and explain what enrollment looks like. No one shows up at your door. Nothing is charged. If the family decides to proceed, the care navigator is assigned and the plan starts within seven to ten days.

No. The CMS GUIDE (Guiding an Improved Dementia Experience) Model supplements your loved one's existing care — it does not replace their primary care physician, neurologist, or any current specialist. Eli Health's care navigator, social workers, and clinical team work alongside the doctors they already see.

The CMS GUIDE (Guiding an Improved Dementia Experience) Model is available to Medicare beneficiaries who have a dementia diagnosis (any stage), are enrolled in Medicare Parts A and B, are not enrolled in Medicare Advantage, are not receiving hospice, and are not long-stay nursing home residents. Final eligibility and enrollment decisions are made by CMS.

The CMS GUIDE (Guiding an Improved Dementia Experience) Model is only available to beneficiaries on Original Medicare (Parts A and B). If your parent is on a Medicare Advantage plan, they are not currently eligible for GUIDE. During Medicare's annual enrollment period a beneficiary may choose to switch to Original Medicare — Eli Health's care expert can explain what that involves during the eligibility call. For 24/7 dementia support in the meantime, the Alzheimer's Association helpline at (800) 272-3900 is always available.

Home health (Medicare Part A) covers skilled nursing and therapy at home after a hospital stay or for a specific episode — it's episodic, not ongoing. Hospice is end-of-life care and is explicitly not compatible with GUIDE enrollment. Medicaid waivers are state-run programs for dual-eligibles that typically cover long-term personal care. The CMS GUIDE Model is different: it's an ongoing federal Medicare program specifically for dementia care navigation, caregiver support, and respite — designed to wrap around the care the patient already receives. A family can be enrolled in GUIDE without giving up their existing home health visits or private-pay arrangements.

A care expert typically reaches the family within one business day of the eligibility submission. The full care plan — navigator assignment, first clinical visit, and respite activation — is usually in place within seven to ten days of a completed intake.

A clinical team employed by Eli Health — care navigators, social workers, and registered nurses, supervised by physicians. Care is delivered by telehealth and, where available, in the home. In states Eli Health does not directly serve, care is coordinated with vetted clinical partners in its national network.

Each eligible family may receive up to approximately $2,500 per year toward respite care — in-home aides, adult day programs, or short-term overnight respite — arranged by the care navigator and paid directly to the respite provider. The exact amount is set by CMS and geographically adjusted. Funds are not paid to the family as cash.

Yes. Eli Health uses HIPAA-compliant clinical systems, does not share submitted information with advertising networks, and uses what you provide only to determine eligibility and contact you about the CMS GUIDE (Guiding an Improved Dementia Experience) Model. See the privacy policy and consumer health data notice for full details, including protections for residents of Washington State and other states with consumer-health-data laws.