Changes in Pennsylvania PACE and PACENET Programs

Pennsylvania PACE and PACENET Programs provide help with Medicare Prescription Drug Plan (Part D) in PA. The recent changes in PACE and PACENET extend the eligibility of these programs to additional beneficiaries. Read below.

Changes in Pennsylvania PACE and PACENET

There are 2 recent changes in PACE/ PACENET:

  • Medicare Part B ($104.90) is no longer counted as income
  • PAGENET careholders not enrolled in a Part D will pay a $35.50 premium per month at their pharmacy

PACE has the following Maximum Income Limits:

  • Single: $14,500
  • Married: $17,700

PACE has the following copays:

  • Generic Copay: $6
  • Single-Source Brand Copay: $9

PACENET has the following Maximum Income Limits:

  • Single: $23,500
  • Married: $31,500

PACENET has the following copays:

  • Generic Copay: $8
  • Single-Source Brand Copay: $15

Exclusion Part B from the countable income will allow many additional beneficiaries to become a part of PACE/PACENET programs.

The Benefits of having Pennsylvania PACE and PACENET

When the medication is covered by PACE and the Part D plan, you’ll pay the lower copayment of both plans

There is no “doughnut hole” if you have a PACE/PACENET program. The PACE/PACENET program will fill in the gaps for covered medications, so you are only paying PACE/PACENET copayments

By applying and being qualified for PACE/PACENET, you become eligible for a Special Election Period (SEP), and can make a plan change (MAPD, PDP) outside of Annual Enrollment Period.

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