CMS GUIDE Model · Dementia care navigation

Caring for someone
with dementia is
a full-time job
you never trained for.

Medicare’s CMS GUIDE Model gives eligible families a dedicated care navigator, licensed therapy and counseling, a 24/7 support line, and up to ~$2,500 a year in respite care*— at no additional cost through Medicare.

  • Approved CMS GUIDE participant
  • HIPAA-compliant clinical handling
  • 60-second check · no Medicare number needed

*Respite amount is set by CMS and geographically adjusted. Eligibility requires Medicare Parts A and B (not Medicare Advantage). Final eligibility and enrollment decisions are made by CMS.

What your family receives

Four pillars of care, built for families like yours.

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.

01
Care Navigation

One person who knows your family.

Not a call center. A dedicated care navigator, trained in dementia care, who builds your plan, coordinates the doctors, and picks up when you call.

02
Therapy & Counseling

Help managing what this is doing to your family.

Eli Health pairs navigation with licensed therapy and counseling — for the person with dementia and for the family around them. Because nobody gets through this untouched.

03
Respite Care

Up to ~$2,500 a year for a real break.

In-home respite, adult day programs, or short-term overnight care. Your navigator arranges it. You take the nap, the walk, the weekend. Amount is set by CMS and geographically adjusted.

04
24/7 Support Line

Someone to call at 3 a.m.

Sundowning. A fall. A question that can't wait until morning. A member of your care team is reachable any hour, any day — so you're never alone in the moment.

Eligibility requires Medicare Parts A and B (not Medicare Advantage). Final eligibility and enrollment decisions are made by CMS.

The respite benefit
up to ~$2,500/ year*

Covered by Medicare under the GUIDE Model. Arranged by your care navigator. Used for the kind of break your family actually needs.

  • An aide for an afternoon
    So you can go to your own doctor, your own therapy, your own life.
  • A day at an adult day program
    Music, lunch, companionship — and a full day back for you.
  • An overnight respite stay
    A weekend to sleep. To see your grandkids. To be a person.

*Annual respite allowance is set by CMS and geographically adjusted. Funds are paid to a respite provider arranged by your care navigator, not paid to families as cash. Eligibility requires Medicare Parts A and B; final eligibility and enrollment decisions are made by CMS.

How it works

From overwhelmed to supported in about a week.

  1. 01

    A 60-second eligibility check

    Answer three quick questions about your loved one's diagnosis and Medicare coverage. No Medicare number required. No commitment.

  2. 02

    A call from a real person

    Within one business day, a care expert from our team calls to walk you through the program, answer questions, and confirm eligibility.

  3. 03

    Your care team builds your plan

    A dedicated navigator, a clinical social worker, and a supervising physician build a personalized care plan — at home or by telehealth.

  4. 04

    You start getting your life back

    Respite gets scheduled. The 24/7 helpline activates. You're not alone anymore — and you never will be, for as long as you need us.

A care expert calls you within 48 hours — often same day.
Weekends and after-hours requests are returned the next business morning.
15
years of service

On the board of the Alzheimer’s Association — Greater Missouri Chapter

Who delivers your care

Built by someone who’s been there.

Eli Health is an approved participant in the CMS GUIDE Model, delivering dementia care navigation, therapy, and respite to Medicare beneficiaries and their families.

Eli Health was founded by Ali Ahmadi, a former U.S. Naval Aviator who has spent the last fifteen years on the board of the Alzheimer’s Association — and built two previous companies devoted to the caregivers no one talks about. His last one, TCARE, now serves over 100,000 caregivers across 22 states.

His clinical team — licensed social workers, therapists, and supervising physicians — delivers dementia care the way he wished it had existed for his own family. That’s the whole point.

15 yrs
On the Alzheimer's Assoc. board
43
States we can serve
24/7
Clinical support

Eli Health is a new service; our founder’s prior venture, TCARE, serves more than 100,000 caregivers across 22 states.

60-second eligibility check

Let’s see if your family may qualify.

Three short steps. No Medicare number needed. No commitment — just answers.

1
2
3

Tell us about your loved one.

So our care expert can greet you properly. Leave blank if you prefer.

Your information is handled by Eli Health’s HIPAA-compliant clinical team.

Your answers are handled by Eli Health’s HIPAA-compliant clinical team and are only used to determine eligibility for the CMS GUIDE Model and contact you. Final eligibility and enrollment decisions are made by CMS.

Questions families ask

We’ve answered these a thousand times.

No. The CMS GUIDE Model supplements your loved one's existing care — it does not replace their primary care physician, neurologist, or any current specialist. Our care navigator, licensed social workers, and therapists work alongside the doctors they already see.

For eligible families, GUIDE program services delivered by Eli Health are covered by Medicare Parts A and B — there are no copays, deductibles, or premiums for covered GUIDE services. Non-GUIDE services your loved one receives from other providers (medications, specialist visits, hospital care) are billed separately as usual. Your loved one must be enrolled in Original Medicare (not Medicare Advantage) to qualify.

Your loved one may qualify if they 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 a long-stay nursing home resident. Final eligibility and enrollment decisions are made by CMS.

The GUIDE 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. During Medicare's annual enrollment period they may choose to switch — call us and we can explain what's involved.

A care expert from our team typically reaches you within one business day of submitting the eligibility check. The full care plan — navigator assignment, first clinical visit, and respite activation — is usually in place within a week to ten days of a completed intake.

A clinical team employed by Eli Health — licensed clinical social workers, therapists, and registered nurses, supervised by physicians. Care is delivered by telehealth and, where available, in the home. In states we don't directly serve, we coordinate with vetted clinical partners in our 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 your 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 your information with advertising networks, and uses what you provide only to determine eligibility and contact you about the GUIDE Model. Read the privacy policy and consumer health data notice for full details, including residents of Washington State and other states with consumer-health-data protections.

You’ve been carrying this alone.
You don’t have to anymore.

Sixty seconds is all we need to tell you if your family may qualify. No Medicare number. No commitment. Just answers.

Eligibility requires Medicare Parts A and B (not Medicare Advantage). Final eligibility and enrollment decisions are made by CMS.