Medicare GUIDE Programs in Pennsylvania

Choose from 32 providers offering comprehensive dementia care support at no cost through Medicare's GUIDE program in Pennsylvania.

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What GUIDE Offers You

80 Hours

Amount of respite care coverage by Medicare.
Giving families some well deserved rest.

24/7 Support

Access to care coordination and support services.
Support when you need it not when it's convenient.

$0 Cost

No out-of-pocket expenses for eligible Medicare beneficiaries

GUIDE Organizations in Pennsylvania (32)

Memory Connect

About Memory Connect

Memory Connect is a CMS GUIDE Model dementia care program whose services are provided by J.M. Geiss, D.O., APC (Senior Doc). The program offers comprehensive assessments, care coordination, caregiver education, a 24/7 caregiver support line, and respite care for eligible participants. Care is delivered in-home, in senior living communities, and via telemedicine. Headquartered in Southern California, the program serves patients across multiple states.

VNA HEALTH SYSTEM

About VNA HEALTH SYSTEM

The Visiting Nurse Association of Central Pennsylvania (www.vnahs.com) offers comprehensive dementia care services tailored to support individuals and families affected by the condition. Their skilled nurses and therapists provide in-home care, focusing on personalized care plans that address the unique needs of each patient. Services include health monitoring, medication management, and assistance with daily activities. They also offer caregiver support and education to help families navigate the challenges of dementia care, ensuring a compassionate and holistic approach to improving quality of life.

Atlantic Medical Group (aka Practice Associates Medical Group)

About Atlantic Medical Group (aka Practice Associates Medical Group)

Atlantic Medical Group, part of Atlantic Health System, offers comprehensive care for dementia patients through its network of specialists and primary care physicians. Located in New Jersey, they focus on personalized treatment plans that may include medication management, cognitive therapy, and support for caregivers. Their approach emphasizes improving quality of life and maintaining patient dignity. Services can be accessed at various locations, ensuring convenient care for those affected by dementia.

ALLEGHENY CLINIC

About ALLEGHENY CLINIC

Allegheny Clinic, the physician practice group of Allegheny Health Network (AHN) in Pittsburgh, participates in the CMS GUIDE Model through the AHN Aging Brain Care Program, an initiative of AHN's geriatrics division. A multidisciplinary team provides medical management, care navigation, and caregiver coaching, education, and behavioral health support for people with dementia across western Pennsylvania, connecting patients and families with community resources.

Ceresti Health, Inc.

About Ceresti Health, Inc.

Ceresti Health, headquartered in Carlsbad, California, is a nationwide CMS GUIDE Model participant serving families across all 50 states. Eligible Traditional Medicare beneficiaries and caregivers receive a dedicated care navigator, personalized dementia education, caregiving tools, and up to $2,500 per year in respite care at no out-of-pocket cost. Services are delivered through an iPad-based platform with pre-loaded content, internet access, and engagement modules including reminiscence and music therapy.

ChristianaCare

About ChristianaCare

ChristianaCare's Swank Center for Memory Care, with locations in Wilmington, Smyrna, and Rehoboth, Delaware, participates in the CMS GUIDE Model. Its GUIDE Memory Program, launched July 2025, provides comprehensive, person-centered assessments and care plans, a care navigator, 24/7 support line, and respite care at no additional cost to eligible Medicare beneficiaries. The multidisciplinary team includes geriatricians, nurses, and social workers.

Excel Medical Center, LLC

About Excel Medical Center, LLC

Excel Medical Center, LLC specializes in comprehensive care for individuals with dementia. Our dedicated team of healthcare professionals provides personalized treatment plans, focusing on enhancing the quality of life for our patients. We offer memory care programs, cognitive assessments, and support services for families. Our center is committed to creating a nurturing and safe environment where patients can thrive. Trust Excel Medical Center, LLC to be your partner in navigating the challenges of dementia with compassion and expertise.

Crystal Run Healthcare Physicians Llp

About Crystal Run Healthcare Physicians Llp

Crystal Run Healthcare Physicians LLP offers comprehensive dementia care through a team of dedicated specialists. Their services include early diagnosis, personalized treatment plans, and ongoing support for patients and families. With a focus on improving quality of life, they provide medication management, cognitive therapy, and access to clinical trials. Their compassionate approach ensures that each patient receives individualized care tailored to their unique needs, helping them navigate the challenges of dementia with dignity and respect.

Delaware Hospice

About Delaware Hospice

Delaware Hospice Inc is a licensed nonprofit serving all of Delaware and southern Chester and Delaware counties in Pennsylvania. It operates a Dementia Care Program as a CMS GUIDE Model participant, providing specialized dementia support, caregiver education, and dementia support groups. The program uses a tiered approach based on disease stage and caregiver strain, available to Original Medicare Parts A and B enrollees.

Emerest Medical

About Emerest Medical

Emerest Medical, based in Brooklyn, New York, provides dementia care through the Medicare GUIDE Model. Each family is paired with a dedicated care navigator who develops a customized care plan. The program includes a 24/7 support helpline, caregiver education, and connections to community resources. Eligible caregivers can receive Medicare-covered respite care, including in-home shifts, adult day care, and short-term facility stays, at no out-of-pocket cost.

EmpowerMe Wellness

About EmpowerMe Wellness

EmpowerMe Medical Group, P.C., the medical practice of EmpowerMe Wellness, participates in the Medicare GUIDE Model, serving beneficiaries in all 50 states. Each participant receives a personalized care plan and a dedicated care navigator coordinating appointments, medications, and community referrals. The program provides 24/7 access to geriatric-trained clinicians, caregiver education and support groups, and Medicare-covered in-home respite care for qualifying caregivers. Services are fully covered for eligible Medicare beneficiaries.

Gameplan Medical

About Gameplan Medical

GamePlan Medical participates in the Medicare GUIDE Model, providing physician-guided dementia care between office visits. Following an initial assessment, a physician-led team assigns a care navigator for regular check-ins covering medications, home safety, daily routines, and caregiver stress. The program includes 24/7 support line access, caregiver education and training, and up to $2,500 per year in respite care. Services are covered at no out-of-pocket cost for eligible Medicare beneficiaries.

Grey Matters

About Grey Matters

Grey Matters Precision Health (Cognitive Health Centers, LLC) is a cognitive health primary care clinic with Florida locations in Sarasota, Jacksonville, and Ponte Vedra Beach. The practice combines primary care and functional medicine to treat and prevent Alzheimer's disease and dementia. As a CMS GUIDE Model participant, it provides care coordination, caregiver education, a 24/7 support line, and respite care at no additional cost to eligible Medicare beneficiaries.

Harmonic Health

About Harmonic Health

Harmonic Health is a dementia care medical group participating in the Medicare GUIDE Model, serving patients and caregivers in more than 30 states. Care navigators work alongside clinicians to provide personalized care planning and 24/7 support. GUIDE enrollment includes an annual respite benefit of up to $2,500 fully covered by Medicare. Harmonic Health also connects families with homecare and adult day program partners.

HumanGood

About HumanGood

HumanGood, a nonprofit senior living organization, participates in the CMS GUIDE Model through its Southern California and Pennsylvania affiliates. Services for Medicare beneficiaries living with dementia include person-centered assessments, care navigation, 24/7 care team access, caregiver education and training, and respite services. The program supports people living with dementia in remaining at home while promoting caregiver health.

Impactful Care®

About Impactful Care®

Impactful Care is a telehealth and mobile concierge medical practice in Cherry Hill, New Jersey, serving patients throughout New Jersey and Pennsylvania. Selected to participate in the CMS GUIDE Model, the practice provides care coordination, care management, caregiver education, support, and respite services for people living with dementia and their unpaid caregivers. The practice also offers telehealth visits, medication management, and in-home concierge care.

Internal Medicine & Primary Care

About Internal Medicine & Primary Care

Internal Medicine & Primary Care is the practice of Marc D. Grobman, DO, a board-certified internist located in Wilmington, Delaware. The practice provides comprehensive primary care for adults, including dementia care, preventive medicine, and chronic disease management. Dr. Grobman has over 30 years of experience, is affiliated with Christiana Hospital, and accepts most major insurance plans including Medicare and Medicaid. Telehealth visits are available.

Isaac Health

About Isaac Health

Isaac Health is a national telehealth dementia care provider and CMS GUIDE Model participant serving all 50 states. Services include early diagnosis, treatment planning, medication management, and care navigation. Eligible Medicare beneficiaries receive 24/7 specialist support, a dedicated care navigator, home safety assessments, caregiver training, and in-home respite care at no cost. The clinical team of neurologists, geriatricians, and therapists supports both patients and caregivers.

Lifetime Redesign OT, PLLC

About Lifetime Redesign OT, PLLC

Lifetime Redesign OT, PLLC specializes in providing occupational therapy services tailored for individuals with dementia. Their approach focuses on enhancing the quality of life through personalized care plans that address cognitive, physical, and emotional needs. Services include home safety assessments, cognitive rehabilitation, and caregiver training. Their team of experienced occupational therapists works closely with patients and families to promote independence and safety in daily living activities. Visit their website to learn more about how they can support your loved one’s journey with dementia.

Lutheran Senior Services

About Lutheran Senior Services

Lutheran Senior Services, now EverTrue, is a faith-based nonprofit with 22 locations in Missouri, Illinois, and Pennsylvania offering senior living and home-based services. Through the Medicare GUIDE Model, the organization provides a dedicated dementia care navigator, personalized care coordination, 24/7 support, caregiver education, respite services, and free access to Trualta online caregiver training. Open to Medicare Parts A and B beneficiaries with a clinician-confirmed dementia diagnosis.

Medical Associates of Erie

About Medical Associates of Erie

Medical Associates of Erie, Inc., through the LECOM Center for Memory Impairment and Neurocognitive Disorders (MIND), offers specialized care for dementia patients. Located in Erie, Pennsylvania, the center focuses on early diagnosis, treatment, and management of memory disorders. Their team of experts provides comprehensive evaluations, personalized care plans, and support for patients and families. The center also engages in research to advance understanding and treatment of neurocognitive disorders, ensuring patients receive cutting-edge care.

Penn Medicine

About Penn Medicine

Penn Medicine participates in the CMS GUIDE Model through the Penn Memory Center, providing home-based dementia care and caregiver support to Medicare beneficiaries in Philadelphia, Bucks, Chester, Delaware, and Montgomery counties, Pennsylvania. Enrollment opened July 1, 2025; no referral is required. The multidisciplinary team of neurologists, psychiatrists, and social workers provides comprehensive exams, personalized care plans, and caregiver education.

PocketRN

About PocketRN

PocketRN is a CMS GUIDE Model participant providing virtual, nurse-led dementia care at no cost to Traditional Medicare Parts A and B enrollees. Each family is paired with a dementia-trained nurse for regular check-ins, with 24/7 virtual care team access. Services include care coordination, medication review, caregiver education, and up to 72 hours of paid in-home respite care annually. PocketRN partners with home care agencies nationwide.

Premier Medical Associates PC

About Premier Medical Associates PC

Premier Medical Associates PC offers comprehensive care for dementia patients, focusing on personalized treatment plans. Their team of experienced physicians and specialists provides thorough assessments, ongoing management, and support for both patients and families. Services include memory care, cognitive assessments, and coordination with other healthcare providers to ensure holistic care. They emphasize patient education and family involvement, striving to enhance the quality of life for those affected by dementia.

St Vincent Medical Education and Research Institute Inc

About St Vincent Medical Education and Research Institute Inc

St. Vincent Medical Education and Research Institute Inc. is the Allegheny Health Network affiliate participating in the CMS GUIDE Model, selected in 2024. GUIDE services build on AHN's Aging Brain Care Program, providing whole-person care for people with early-stage dementia and connecting caregivers with wraparound support. AHN geriatricians collaborate with patients' existing primary care physicians to manage dementia and age-related conditions at geriatrics locations across western Pennsylvania.

St. Luke's Senior Care Associates

About St. Luke's Senior Care Associates

St. Luke's Physician Group, Inc. offers specialized dementia care through a team of dedicated professionals. Our services include comprehensive assessments, personalized care plans, and ongoing support for patients and their families. We focus on enhancing the quality of life for individuals with dementia by providing medical management, cognitive therapies, and caregiver education. Our compassionate approach ensures that each patient receives the attention and respect they deserve, helping them maintain their dignity and independence.

Suburban Geriatrics

About Suburban Geriatrics

Suburban Geriatrics is a geriatric medical practice in Plymouth Meeting, Pennsylvania, offering office-based and in-home primary care, geriatric consultation, and case management for older adults. In partnership with Abramson Senior Care of JFCS, the practice participates in the CMS GUIDE Model, providing care management for Medicare beneficiaries with dementia in the Philadelphia region. Referrals and GUIDE evaluations are arranged through the Abramson Senior Care team.

Synapticure

About Synapticure

Synapticure is a virtual specialty care provider for people with Alzheimer's and other dementias, Parkinson's, ALS, and related neurodegenerative conditions. An Established CMS GUIDE Model participant since July 2024, it serves Medicare beneficiaries with dementia in all 50 states. Services include video visits with neurologists, dedicated care teams, 24/7 phone support, care navigation, caregiver support, and respite care. Care is covered by Medicare, Medicaid, and most major insurers.

Tembo Health

About Tembo Health

SAH Telemedicine PC, accessible through Tembo Health at tembo.health, offers specialized telemedicine services tailored for dementia care. This platform connects patients with healthcare professionals who provide remote consultations, monitoring, and management of dementia symptoms. The service aims to enhance the quality of life for dementia patients by offering convenient access to expert care from the comfort of home. It's an ideal solution for those seeking regular medical attention without the need for physical travel.

The Neurology Center of Southern California

About The Neurology Center of Southern California

The Neurology Center of Southern California (North County Neurology Associates) is a private neurology practice established in 1978, with offices in Carlsbad, Escondido, La Jolla, Poway, San Diego, and Temecula. The practice participates in the CMS GUIDE Model, providing Medicare-covered dementia care including memory evaluations, neuropsychological testing, personalized treatment plans, and ongoing patient and family support. New patients can schedule online or by phone.

University of Pittsburgh Physicians

About University of Pittsburgh Physicians

University of Pittsburgh Physicians, through UPMC's Division of Geriatric Medicine, participates in the CMS GUIDE Model. Based in Pittsburgh, Pennsylvania, the program provides comprehensive interdisciplinary assessment, individualized care plans, caregiver education and support, respite care, and 24/7 access to a care team member or support line. Geriatricians, neurologists, and other specialists diagnose and manage Alzheimer's disease and other dementias.

Vahe Akopian MD Inc

About Vahe Akopian MD Inc

Vahe Akopian MD Inc provides specialized dementia care in Glendale, California, led by neurologist Dr. Vahe Akopian. As a CMS GUIDE Model participant, the practice partners with AVVACare to deliver Medicare-covered dementia care coordination and caregiver support. Services include personalized care plans, medication management, help arranging meals and transportation, 24/7 support access, and respite care. The program is designed to help individuals with dementia remain safely in their homes.

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