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PACE and PACENET: Pennsylvania's Prescription Assistance Programs for Older Adults


Highmark is proud to once again participate in PACE and PACENET, Pennsylvania's prescription assistance programs for older adults that offer low-cost prescription medication to qualified residents age 65 and older. 

 

 

Do you have clients who may qualify for either of these programs?


PACE and PACENET eligibility is determined by previous calendar year's income. Since 2014, Social Security Medicare Part B premiums are excluded from income. This change has the same effect as raising the income limits by that amount. For most Medicare beneficiaries, this amount is $1,626.00 per person for a year. For married couples, the excluded amount would be $3,252.00 for a year.

 

 

PACE and PACENET Eligibility Criteria

 

PACE:

  • You must be 65 years of age or older.
  • A Pennsylvania resident for at least 90 days prior to the date of application.
  • You cannot be enrolled in the Department of Human Service's Medicaid prescription benefit.
  • For a single person, total income must be $14,500 or less.
  • For a married couple, combined total income must be $17,700 or less.

 

PACENET:

  • You must be 65 years of age or older.
  • A Pennsylvania resident for at least 90 days prior to the date of application.
  • You cannot be enrolled in the Department of Human Service's Medicaid prescription benefit.
  • PACENET income limits are slightly higher than those for PACE
  • For a single person, total income can be between $14,500 and $27,500
  • For a married couple, combined total income can be between $17,700 and $35,500

 

NOTE: Effective January 1, 2021 PACENET cardholders not enrolled in a Part D Plan will pay a $37.45 premium at the pharmacy each month.

Income qualification is based on prior year's income and includes taxable and non-taxable sources. Assets and resources are not counted as income.


 

 

Click here for PACE/PACENET FAQs

For more information, call 1-800-225-7223

 

This email was sent from the Highmark Senior Markets Sales team. If you have questions, please contact our Broker Services Team at highmarkseniormarkets@highmark.com or call (800) 652-9459.