If you’re caring for a parent or spouse with dementia, Medicare’s new CMS GUIDE (Guiding an Improved Dementia Experience) program — through Original Medicare Parts A and B (not Medicare Advantage) — covers a dedicated care navigator, caregiver education, 24/7 support for enrolled families, and respite (short paid breaks for you)* at no additional cost to eligible families.
*Eli Health is an approved CMS GUIDE Model participant — not an insurance plan, broker, or agent; not affiliated with or endorsed by CMS, HHS, or the federal Medicare program. The respite amount is an approximate annual cap adjusted yearly for inflation and geography; exact amount varies by location. Final eligibility and enrollment decisions are made by CMS.
Medicare’s CMS GUIDE (Guiding an Improved Dementia Experience) Model isn’t a brochure or a support-group flyer. It’s a funded, standing clinical team delivered to your front door — at no additional cost to eligible families.
In-home respite, adult day programs, or short-term overnight care. The care navigator arranges it; families take the nap, the walk, the weekend. Amount is set by CMS and geographically adjusted.
Not a call center. A dedicated dementia care navigator, one person who knows the family, who builds the care plan, coordinates the doctors, and picks up when the family calls.
Ongoing education and skills training for the people caring for a loved one with dementia — managing behavioral changes, planning for each stage, navigating the healthcare system.
Sundowning. A fall. A question that can't wait until morning. Once a family is enrolled, a member of the care team is reachable any hour, any day — by phone.
Available through the CMS GUIDE (Guiding an Improved Dementia Experience) Model for eligible families. Arranged by the care navigator. Used for the kind of break a family actually needs.
No Medicare number needed. No commitment. Final eligibility and enrollment decisions are made by CMS.
*Annual respite allowance is set by CMS and geographically adjusted. Funds are paid to a respite provider arranged by the care navigator, not paid to families as cash. Eligibility requires Medicare Parts A and B.
The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.
Answer three quick questions about your loved one's diagnosis and Medicare coverage. No Medicare number required. No commitment.
Within one business day, a care expert from our team calls to walk you through the program, answer questions, and confirm eligibility.
A dedicated navigator, a clinical social worker, and a supervising physician build a personalized care plan — at home or by telehealth.
Respite gets scheduled. 24/7 clinical support activates for your family. You're not alone anymore — and you never will be, for as long as you need us.
Eli Health is an approved participant in the CMS GUIDE (Guiding an Improved Dementia Experience) Model. Every enrolled family is supported by an Eli Health care team trained specifically for dementia — so you’re not navigating diagnosis, crises, and respite on your own.
Your care is delivered through Eli Health clinical staff and our vetted partner organizations — licensed social workers, registered nurses, and supervising physicians — with 24/7 support available when things get hard.
Eli Health was founded by Ali Ahmadi, a U.S. Navy veteran who has volunteered with the Alzheimer’s Association for over a decade. His first caregiver company, TCARE, now serves over 100,000 caregivers — the same methodology informs how Eli Health supports families today.
Three short steps. No Medicare number needed. No commitment — just answers.
Your answers are handled by Eli Health under HIPAA and are only used to determine eligibility for the CMS GUIDE Model and contact you. Final eligibility and enrollment decisions are made by CMS.
Yes, GUIDE services have no copays, deductibles, or premiums — care navigation, caregiver support, respite, and 24/7 access once enrolled are all covered by Medicare for eligible families. Regular medical care (medications, specialist visits, hospital stays) is still billed normally under Medicare Parts A and B. Licensed counseling from Eli Health is a separate service billed through the patient's insurance. Your loved one must be on Original Medicare (not Medicare Advantage) to qualify.
A care expert calls within one business day. No Medicare number needed to check eligibility. At no additional cost to eligible families — just answers.
