Table of Contents
The state of Pennsylvania offers three prescription assistance programs for its residents; the Pharmaceutical Assistance Contract for the Elderly or PACE for short, the companion program PACE Needs Enhancement Tier or PACENET, and the third option is a Medicare Part D companion program called PACE Plus Medicare. Placement into one of these programs is determined by one's annual income from the previous year and whether or not the applicant has Medicare Part D. Therefore, eligibility for the calendar year 2017, considers the applicant's 2016 income for eligibility purposes.
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 $40 in monthly premiums. All programs offer assistance in the form of very low co-payment amounts for prescription medications.
To be eligible, seniors must meet the following criteria:
Assets are not considered when determining eligibility.
PACE will pay for a senior’s complete cost of medications except for the monthly co-payments of $6 for generic drugs and $9 for brand name drugs. PACENET has similar benefits but has co-payments of $8 for generics and $15 for brand name drugs. The above co-payments are for a supply of 30 days.
There are no costs to enroll in the PACE program. PACENET participants have an enrollment fee of $39.45 / month. However, if they enroll in a Medicare Part D plan, that fee is waived.
To apply, candidates have 3 options. They can apply online, download an application and mail it in or they can visit their local Area Agency on Aging to receive assistance with the application. One can learn more about these programs by visiting the webpage or call their toll free number at (800) 225-7223.