These programs do not cover over-the-counter medicines, medical equipment or doctor, hospital, dental or vision services. There is no application fee to enroll in the program.
Eligibility
PACE – Who is eligible:
To be eligible for PACE, you must be 65 years of age or older, a Pennsylvania resident for at least 90 days prior to the date of application, and you cannot be enrolled in the Department of Public Welfare’s Medicaid prescription benefit.
Eligibility is also determined by your previous calendar year’s income. For a single person, your total income must be $14,500 or less. For a married couple, your combined total income must be $17,700 or less.
Once you are enrolled in the PACE program, a benefit card will be sent to you, and you will pay no more than $6 for each generic prescription medication and no more than $9 for each brand name prescription at your pharmacy. These copayments are based on a 30-day supply.
PACENET – Who is eligible:
To be eligible for PACENET, you must be 65 years of age or older, a Pennsylvania resident for at least 90 days prior to the date of application, and you cannot be enrolled in the Department of Public Welfare’s Medicaid prescription benefit.
PACENET’s income limits are slightly higher than those for PACE. Eligibility is based on the previous calendar year’s income. A single person’s total income can be between $14,500 and $23,500. A couple's combined total income can be between $17,700 and $31,500. Once you are enrolled in the PACENET program, a benefit card will be sent to you.
PACENET cardholders that do not enroll in a Part D plan will pay a nominal deductible each month at the pharmacy, which will be calculated through the cost of their medications. If the deductible is not met each month, it will accumulate. In addition, the individual will pay no more than $8 for each generic prescription medication and no more than $15 for each brand name.
PACENET cardholders enrolled in one of the program’s partner Part D plans will pay the Part D premium at the pharmacy each month, which will be calculated through the cost of the medications. PACENET cardholders enrolled in a Part D plan that is not one of the program’s partner plans will pay the Part D premium directly to the Part D plan. In addition, they will pay no more than the PACENET co-payments of $8 for each generic prescription medication and $15 for each brand name.
What if I don't quality for PACE/PACENET?
For consumers who do not qualify for PACE/PACENET, find the Medicare Part D plan that is best for you.
Learn more
The following links can help you learn more about these benefits.
Contact
Bureau of Pharmaceutical Assistance
PACE Program
555 Walnut Street, 6th Floor
Harrisburg, PA 17101
Phone: (717) 787-7313
Fax: (717) 772-2730
Toll Free: 1-800-225-7223
E-Mail: aging@pa.gov
