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What is PACE program in PA?

Published in Pennsylvania Senior Benefits 2 mins read

The PACE program in PA (Pennsylvania) stands for Pharmaceutical Assistance Contract for the Elderly Program. It is a state-funded prescription assistance program designed to help older Pennsylvanians afford their necessary medications.

How the PACE Program Works

The primary goal of the PACE program is to significantly lower the out-of-pocket costs for prescription drugs for eligible seniors. It achieves this by working in conjunction with various existing prescription drug plans that beneficiaries may already have.

Key aspects of how PACE operates include:

  • Complementing Existing Coverage: PACE does not replace other insurance. Instead, it works with a variety of prescription drug plans to reduce what an individual pays. These plans can include:
    • Medicare Part D plans: A primary partner for many beneficiaries.
    • Retiree/union coverage: Benefits provided by former employers or unions.
    • Employer plans: Current employer-sponsored health coverage.
    • Medicare Advantage (HMO, PPO): Managed care plans that often include drug coverage.
    • Veterans' Benefits (VA): Prescription coverage provided through the Department of Veterans Affairs.

By coordinating with these plans, PACE helps bridge the gap in coverage or reduce deductibles, co-pays, and other out-of-pocket expenses that can be substantial for individuals on fixed incomes. This cooperative approach ensures that eligible seniors receive comprehensive assistance, making medications more accessible and affordable.

For more detailed information and to check eligibility requirements, you can visit the official Pennsylvania Department of Aging website: Pharmaceutical Assistance - PACE Program.