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Monarch Health

Care at home

Ageing in Place

Staying in your own home, safely and confidently, for as long as it is the right place to be.

Most people would rather stay at home, and most of the time that is achievable for longer than families expect — provided the right things are anticipated rather than reacted to. Ageing in Place is the clinical and practical work of making that possible: assessing what is actually manageable, addressing the risks that tend to end independence suddenly, and adjusting as things change.

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A woman in her seventies tending garden beds outside her home while a nurse chats with her.

What it includes

  • A home safety and function review

    An assessment carried out where the person actually lives, because a clinic room reveals very little about stairs, lighting, bathrooms and the routes someone takes every day.

  • Falls prevention that starts before a fall

    Balance and strength work, medication review, and changes to the home environment — the three things that most reliably reduce falls.

  • Regular functional review

    Strength, balance, mobility and day-to-day capability re-measured on a schedule, so decline is noticed while there is still time to act on it.

  • Coordination with the wider care team

    Family physician, specialists, allied health and any home support kept working from the same plan.

  • Planning conversations, held early

    Discussions about what happens if circumstances change, had while everyone is calm rather than during a crisis.

What this is not

  • This is not a substitute for publicly funded home and community care. Where someone is eligible for those services, we help them access them.
  • It does not provide 24-hour supervision or residential care.
  • It does not provide faster access to MSP-covered tests or specialist referrals.
A community nurse taking a woman's blood pressure in her living room.

How it is arranged

Ageing in Place is delivered within a Monarch Health membership, so the clinical plan and the support at home are one arrangement rather than two.

  • Monarch Preserve

    Typically 65 and over, or where frailty is a factor at any age

    Stay healthy, independent and connected, with rapid access when something changes — and coordinated clinical and home-based support when care becomes complicated.

    What it includes

Insured physician and nursing services are billed to MSP as usual. The uninsured components — assessment, planning, coordination and monitoring — are covered by a Monarch Preserve membership.

Monarch Health’s memberships and private programs cover uninsured services only. Services that are covered by the BC Medical Services Plan (MSP) continue to be billed to MSP. You will receive a written record of what your membership includes before any services begin.
This program does not guarantee access to or replace a General Practitioner, Family Physician, or any Medical Service Plan (MSP) insured primary care services. It also does not provide expedited access to MSP-covered laboratory tests, diagnostic investigations, or specialist referrals.