Pennsylvania Medicare Education and Decision Insight (PA MEDI) for Pennsylvanians aged 60 and over. The Pennsylvania Department of Aging created PA MEDI to help older Pennsylvanians better understand their health insurance options and make sound decisions about what is best for them.
Apprise counselors are specially trained volunteers that can answer your questions about original Medicare, Medicaid, Medigap, long-term care insurance, and preventative care. The counselors can:
Help you understand original Medicare benefits by explaining which services are covered under Parts A and B and your Medicare Summary Notice
Help you make informed choices about Medicare coverage options, including the new Medicare Advantage Plans.
Help you understand the Medicare appeals process and assist you with the appeals paperwork
Help you select a Medigap insurance policy by explaining the benefits that are offered under each plan, and by providing you with a list of companies that sell Medigap plans.
Inform you about eligibility for prescription drug programs and programs that pay Medicare deductions, co-payments, and Part B premiums
VOLUNTEERS NEEDED
There are opportunities for volunteers in the PA MEDI program.
Call and ask for Molly McNutt.
(814) 849-3096 or (800) 852-8036
PA MEDI can help those on Medicare apply for programs that can help pay the Medicare Part B or the Part D premium. These programs have income and assets guidelines, which increase yearly. The highest income is based on Less than 50% of the Federal Poverty Guidelines, and there are resource limits. Resources do not include your house, one car, jewelry, etc. but does include (but not limited to these) your checking, savings, investments, IRAs, cash and if you have a life insurance that has a cash value.
Medicare B
In 2021 a single person can apply to have the Medicare B premium paid if the gross income is under $1,469 per month and assets under $7,970. A married couple can have up to $1,980 monthly and assets under $11,960.
Medicare D
The program to pay the Medicare D premium is called Extra Help or LIS (Low Income Subsidy). In 2021 the maximum monthly gross income for a single person to get help is $1,630 with assets up to $14,790. A married couple maximum is $2,198 monthly and assets up to $29,520.
Call us for help to check your eligibility.
PACE and PACENET
PACE and PACENET is the PA program to help pay for prescriptions. PACE and PACENET guidelines use the previous year’s income. There are no asset guidelines for PACENET program.
For the PACE program – last year’s income for a single person is $14,500/year or less. For married couples – last year’s income is $17,700/year or less.
For the PACENET program – last year’s income for a single person is between $14,501 and $27,500. For married couples – last year’s income is between $17,701 and $35,500.
with assets up to $13,440. A married couple maximum is $1,939 monthly and assets up to $26,860.
Call us for help to check your eligibility.
PACE and PACENET
PACE and PACENET is the PA program to help pay for prescriptions. PACE and PACENET guidelines use the previous year’s income. There are no asset guidelines for PACENET program.
For the PACE program – last year’s income for a single person is $14,500/year or less. For married couples – last year’s income is $17,700/year or less.
For the PACENET program – last year’s income for a single person is between $14,501 and $23,500. For married couples – last year’s income is between $17,701 and $31,500.
We also answer questions on other issues related to Medicare!
(814) 849-3096 or (800) 852-8036
Pennsylvania Health Law Project
PHLP is a partner of the PA MEDI program, for Low Income Subsidy and the Medicare Savings Program. Check out phlp.org for more information.
