I have Medicare and benefits through Programs of All-inclusive Care for the Elderly (PACE)
PACE combines medical, social, and long-term care services for frail people who live and get health care in the community. These programs are a joint Medicare and Medicaid
option in some states.
You don’t need to join a separate Medicare drug plan because you get Medicare prescription drug coverage through PACE.
Caution: If you join a Medicare drug plan, you will be disenrolled from your PACE plan. Your PACE plan provides not only your prescription drug coverage, but all of your heath care services. Therefore, if you disenroll from your PACE plan by joining a Medicare drug plan, you will no longer receive other health care benefits from your PACE plan. Contact your PACE plan for more information.
If you also have full Medicaid coverage, you get prescription drugs at no cost to you through your PACE plan.
If you have Medicare only, you get all of your health care benefits, including prescription drug coverage, through your PACE plan. You pay a monthly premium that is reduced because it doesn’t include prescription drugs. You will also pay a separate Medicare prescription drug premium to cover the cost of your prescription drugs.
If you don’t have Medicaid coverage, you may still qualify for extra help
paying for Medicare prescription drug coverage. If you think you may qualify, call Social Security at 1-800-772-1213, visit www.socialsecurity.gov on the web, or go to your State Medical
Assistance (Medicaid) office and fill out an application for extra help. For more information about this extra help, see pages 19–28.