Pennsylvania PACE

Click the link above to view current income limits.

 

 

Pharmaceutical Assistance Contract for the Elderly Page

 

• Complete and Submit your enrollment application online using the Enrollment Express Wizard! Google Chrome works best if printing a hard copy of the submitted application.

• Download / View the PACE/PACENET Enrollment Form and Instructions (PDF format)

• Download / View the PACE/PACENET Enrollment Form and Instructions (PDF format) in Español

• Complete Coordination of Benefits form regarding Health and Prescription Insurance (PDF format). If printing documents, they can be mailed to PO Box 8806, Harrisburg, PA 17105-8806 or faxed to 888-656-0372.