Monarch Ageing in Place
Preserve function and independence
Follow mobility, cognition and everyday function over time, identify changing support needs and help members maintain independence at home.
An annual assessment weighted to function and independence, monthly contact at home, and someone steering when care becomes several things at once - so that staying independent stays the plan.
Fees are tailored to you. Talk to us for a written quote; every included service is itemized in writing before you begin.
Typically age 65 and over, or earlier when support is needed.Adults in the years when staying well and staying independent become the same project, and the families who help them. The emphasis moves from finding disease toward keeping the strength, balance, thinking and confidence that independence rests on - and toward coordination, because by this stage the difficulty is rarely one condition, it is four of them and nobody holding the thread.
How this one differs
A pathway, not only a membership
Ageing in Place includes a coordinated-care pathway for members living with frailty or several conditions at once. It brings clinical care, home support and coordination into one arrangement, and it is entered at the point where care is becoming complicated - not at a particular birthday.
This page is written for the family member who is arranging care. If you are arranging it for yourself, everything here applies in the same way.
Membership fees
Let's find the right fit, then put a number on it.
Tell us a little about you or your family and we will send a clear written quote, with no obligation. You will also receive a written record of exactly what your membership includes before any services begin.
What this membership includes
An annual health and function assessment
The usual medical review, plus direct measurement of strength, balance, walking speed and memory - the things independence depends on. Reviewed at home where that is more useful.
Functional review twice a year, or whenever things change
Because function can change faster than bloodwork, it is measured more often than once a year - and again on any change in condition, not only by the calendar.
Falls and mobility planning
Practical work on balance, strength and the home environment, before a fall rather than after one.
Support when something changes
A care team that knows your history and can help you understand what needs attention and coordinate the appropriate next steps. Coordination does not provide priority or preferential access to publicly insured services.
Medication review
A regular look at everything you take together, which is often where the easiest gains are.
A named care coordinator, when care becomes complicated
One person who knows the situation and helps hold the moving parts together, with your consent - specialists, allied health and home support kept in step with the plan. Coordination does not provide priority or preferential access to publicly insured services.
Home-based healthspan support
Where appropriate, Monarch may provide or coordinate uninsured healthspan services in the home. Any MSP-insured physician services provided by an independent physician are separate from Monarch Health and are not included in the membership.
Support for the family
Clear communication, planning conversations, and someone on the care team who can answer a question - with the member's consent.
What we measure, and how often
An annual assessment with a functional review every six months, weighted toward independence - and reassessed whenever the situation changes.
Annual full assessment; functional review every six months, and again whenever there is a meaningful change in condition.
What the assessment covers
- Medical and medication history, reviewed together as a whole
- Laboratory assessment and vitals
- Strength, balance, gait speed and mobility
- Memory, thinking and mood
- Mood, purpose and social connection
- Day-to-day function at home, and what help is needed
- Home safety and the home environment
- What matters most to the person, and to the family
How change is noticed, and what happens next
How change is identified
Strength, balance, walking speed and memory are measured at your annual assessment and at a functional review every six months, and again whenever there is a meaningful change in condition.
When a concern arises
Your care team reviews what has changed and, with your consent, involves your family physician and others in your care so the next steps are coordinated. Coordination does not provide priority or preferential access to publicly insured services.
How the membership works between assessments
An assessment once or twice a year is not a relationship. These are the things that keep Monarch present in between.
A plan built around what you want to keep doing
Goals are set in terms of activities and independence, not abstractions.
A named point of contact
A care team member who knows your plan, and a single coordinator, not a directory, when care is complicated.
Family kept in the loop, with your permission
Where you want family involved, they can be - on your terms and with your consent, working from the same plan as the clinical team.
A written summary after every review
Something you can keep, read later, and share with whoever you choose.
Clinical programs this membership draws on
Programs are delivered within a membership rather than bought separately. Which ones apply depends on what your assessment finds and what you and your physician decide to work on.
How this works with the public system
Publicly insured services remain publicly insured. Where an independently practising physician provides an MSP-insured service, that service is separate from Monarch Health and is billed through MSP in accordance with applicable requirements. Membership fees do not cover or provide priority access to MSP-insured services. This membership covers uninsured services - assessment, prevention planning, functional review, care coordination, monitoring and family support. It does not replace your family physician or publicly funded home and community care, and it does not provide faster access to MSP-covered tests or specialist referrals.
