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Applications: PACE & PACENET

Complete an online application.  The same application can be used for both PACE and PACENET

Mail your application.  You can print an application form that you can fill out and send to us through the mail.  The same application can be used for both PACE and PACENET

For assistance with the application process, call PACE/PACENET Cardholder Services toll free at 1-800-225-7223.  For additional assistance, contact your local  Area Agency on Aging, or your pharmacy.   

Documentation requirements:

You do not need to include documentation with your PACE/PACNET application because the PACE/PACENET program verifies your age, income and residence upon application with the Social Security Administration, Railroad Retirement Board, State Employees' Retirement Systems, PA Department of Revenue, PA Department of Transportation and other sources.