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Pennsylvania Pharmaceutical Assistance Contract for the Elderly (PACE)

 
PACE and PACENET  Program Description
The state of Pennsylvania offers two prescription assistance programs for its residents; the Pharmaceutical Assistance Contract for the Elderly or PACE for short and the companion program PACE Needs Enhancement Tier or PACENET.  Placement in one of the two programs is determined by one’s income level.

Unlike many state pharmaceutical assistance programs, enrollment in a Medicare Part D plan is not a requirement for PACE or PACENET participants.  However PACENET members are encouraged to enroll in a Part D plan.  Those that do not enroll are charged approximately $33 in monthly premiums.

Both programs offer assistance in the form of very low co-payments amounts for prescriptions.
PACE and PACENET Program Eligibility
To be eligible for these programs, seniors must meet the following criteria:
  • Be a Pennsylvania resident
  • Be aged 65 or older
  • Cannot be receiving Medicaid prescription benefits
  • PACE income limit is $14,500 for an individual and $17,700 for couples.
  • PACENET income limit is $23,500 for an individual and $31,000 for couples


PACE and PACENET Program Benefits
PACE will pay for a senior’s complete cost of medications minus the monthly co-payments of $6 for generic drugs and $9 for brand name drugs.
PACENET has co-payments of $8 for generics and $15 for brand name drugs.


PACE and PACENET Program Costs
There are no costs to enroll in the PACE program. 
There is a fee for PACENET members of $33 / month if they do not have a Medicare Part D plan.

PACE and PACENET Contact Information
Visit the PACE and PACENET webpage or call their toll free number at (800) 225-7223.


The state of Illinois has two programs designed to provide financial assistance to the elderly to help them purchase their prescription drugs.  Rx Basic is for individuals without Medicare insurance and the Rx Plus is designed for those on Medicare.

Rx Plus is known as a Medicare wraparound program which means the benefits wrap around those benefits provided by a Medicare Part D plan.  When making a prescription purchase, Medicare Part D is the first payer and then this program contributes towards those costs the Part D plan does not cover.
 
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