PACE Your LIFE – Dual Eligible (PACE)

H8614 - 001 - 0
Plan Not Rated

PACE Your LIFE – Dual Eligible (PACE) is a Medicare Advantage (Part C) PACE plan by Milford Wellness Village PACE.

IMPORTANT: PACE Your LIFE – Dual Eligible (PACE) is a PACE plan. Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program for people who are 55 or older, live in the service area of a PACE organization, need a nursing home-level of care (as certified by your state), and are able to live safely in the community with help from PACE.

This page features plan details for 2023 PACE Your LIFE – Dual Eligible (PACE) H8614 – 001 – 0 available in Kent Sussex Partial.

IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the link below:

Locations

PACE Your LIFE – Dual Eligible (PACE) is offered in the following locations.

Plan Overview

PACE Your LIFE – Dual Eligible (PACE) offers the following coverage and cost-sharing.

Special Needs Plan Type:National PACE
Conditions Covered:
Insurer:Milford Wellness Village PACE
Health Plan Deductible:$0.00
MOOP:
Drugs Covered:Yes

Ready to sign up for PACE Your LIFE – Dual Eligible (PACE) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 TTY 711.

8am – 11pm EST. 7 days a week

Premium Breakdown

PACE Your LIFE – Dual Eligible (PACE) has a monthly premium of $364.10. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$164.90 $0.00 $364.10 $0.00 $529.00
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

PACE Your LIFE – Dual Eligible (PACE) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $
Initial Coverage Limit: $
Catastrophic Coverage Limit: $7,400.00
Drug Benefit Type:
Gap Coverage:
Formulary Link: Formulary Link

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs. The table below shows how the LIS impacts the Part D premium of this plan.
Part D LIS 25% LIS 50% LIS 75% LIS Full
$364.10 $43.40 $34.80 $26.30 $17.70

Initial Coverage Phase

After you pay your $ drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $. Once you reach that amount, you will enter the next coverage phase.

Gap Coverage Phase

After your total drug costs (including what this plan has paid and what you have paid) reach $, you will pay no more than the amounts below for any drug tier until you reach $7,400.00.

Tier Cost
All other tiers (Generic)25%
All other tiers (Brand-name)25%

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.

TierCost
Generic$4.15 copay or 5% (whichever costs more)
Brand-name$10.35 copay or 5% (whichever costs more)

Ready to sign up for PACE Your LIFE – Dual Eligible (PACE) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 TTY 711.

8am – 11pm EST. 7 days a week

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