MEDICARE PART D PLANS, RETIREE/UNION COVERAGE, EMPLOYER PLANS, VETERANS’ BENEFITS PACE/PACENET will help save you copay dollars and out-of-pocket expense. It’s easy! Simply take your PACE card and any other prescription ID cards to your pharmacy. Call us at 1-800-225-7223

HOW TO APPLY ONLINE: Complete and Submit your enrollment PACE/PACENET application online. Google Chrome works best if printing a copy of the submitted application. PHONE: Applications can be taken over the phone. Call us at 1-800-225-7223. Please have last year’s income and current insurance information available. ON PAPER: Download an application and send it to us through mail, fax, or email. PACE/PACENET Application and Brochure Download / View PACE/PACENET Application and Brochure (Español) Download / View MAIL: PACE/PACENET            PO BOX 8806            HARRISBURG, PA 17105-8806 FAX: 1-888-656-0372 EMAIL: papace@magellanhealth.com

PACE/PACENET MAXIMUM INCOME LIMITS

Income requirements based on previous year gross income. This includes taxable and non-taxable sources. Assets are not counted as income. PACE$14,500 or less for a single person $17,700 or less for a married couple PACENET$14,501 to $33,500 for a single person $17,701 to $41,500 for a married couple LOW PRESCRIPTION COPAYS Based on 30-day supply PACE: $6 Generic; $9 Brand PACENET: $8 Generic; $15 Brand Effective January 1, 2023, PACENET cardholders not enrolled in a Part D plan will pay a $41.08 premium at the pharmacy each month they use their PACENET benefit.Effective January 1, 2023, the PACE Program is encouraging cardholders to enroll in a Part D plan because it may provide additional benefits for members.

When filling out the PACENET application, you need to use the previous year’s income, and you need to be past or very close to your 65th birthday. If you had an income over the limit in the previous year and have since retired and now have a low income, you will have to wait for the next year to apply.

Pennsylvania Department of Human Services Statewide Preferred Drug List (PDL)*

*The Statewide PDL is not an all-inclusive list of drugs covered by Medical Assistance. Drugs in Statewide PDL classes that are new to market will be non-preferred until reviewed by the DHS Pharmacy and Therapeutics Committee.

If you income is low enough, you might qualify for the Low Income Subsidy (LIS) through Social Security, also known as Extra Help. Click here for more information.

In the meantime, if you need help with medications, you can call the PA Clearing House at 1-800-955-0989. The will try to help with prescriptions and other services. They can take an application over the phone, or send you a link to fill it out on your own on-line. Three to four weeks after submitting the application, you will get a letter from PA Clearing House asking for documentation for your income, etc. Watch for the PP ID# in the letter and write it on each document you submit. You can also call PA Clearing House for help with a PACE/PACENET application.

For more information, click here.

Something else to consider if all else fails is GoodRx, a free discount coupon available on like. Click here for the website.

LIS Income Requirement Details

The Low Income Subsidy (LIS) program, also known as Extra Help, provides financial assistance to Medicare beneficiaries with limited income and resources to help pay for prescription drug costs. To qualify, your income and resources must be below certain limits.

Income Limits (2024)

• Single individuals: $19,320 or less per year
• Married couples: $26,130 or less per year

Resource Limits (2024)

• Countable resources (e.g., cash, savings, stocks) must be $14,610 or less for an individual or $29,220 or less for a married couple

Income Disregard

• The Social Security Administration (SSA) automatically subtracts $20 from your monthly unearned income (e.g., retirement income) when calculating your eligibility for Extra Help

Other Income and Assets Not Counted

• Certain types of income and assets may not be counted, such as:
  • Your primary residence
  • One vehicle (as long as it’s not worth more than $4,850)
  • Burial plots and irrevocable burial trusts
  • Life insurance policies with a face value of $1,500 or less

Reapplying

• If you don’t initially qualify for Extra Help, you can reapply at any time if your income and resources change
• Even if your income increases, you may still qualify if your resources remain below the limits

Click here to apply for LIS.

Understanding the Extra Help with Your Medicare Prescription Drug Plan