More Prescription Drug Plan Choices for Medicare-Only PACE Members
This law allows Medicare-only PACE program participants to choose a prescription drug plan from a wider selection, not just the one offered by their PACE program. This aims to provide more flexibility and potentially better alignment with individual medication needs.
Key points
Medicare-only PACE participants can choose a drug plan outside their PACE program starting in 2023.
Chosen drug plans must meet specific criteria for out-of-pocket costs and federal subsidies.
PACE programs must inform participants about this option and assist with plan selection.
PACE programs will monitor drug use and costs to coordinate care.
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