Tuesday, September 28, 2021
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.	PACE/PACENET WORKS WITH: MEDICARE PART D PLANS RETIREE/UNION COVERAGE EMPLOYER PLANS VETERANS' BENEFITS PACE/PACENET will help save you copay dollars and out-of-pocket expense. It's easy! Simply take your PACE card and any other prescription ID cards to your pharmacy. Need Assistance with PACE/PACENET? Call 1-800-225-7223	Medicare Web Page - www.medicare.gov Frequently Asked Questions about PACE and Medicare Part D in 2021 Letters Regarding Medicare Part D Assignments in 2021 Letters Regarding Auto Renewing Benefits in 2020 Part D Plans having Premium Payment Agreements with PACE for 2021 Learn about the PACE Outreach Program Learn about the right way to throw away medicines Pharmacy Provider Bulletins containing information on program policies and guidelines Calculating your daily dose of pain medications. The Morphine Equivalent Dose Calculator calculates the total daily dosage of all opioids as equivalent to 1mg of Morphine. The calculator is courtesy of the Washington State Agency Medical Directors' Group.

PACE/PACENET Maximum Income Limits

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.

Part D Partner Plans for 2021