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Senior Shared Ride Program - ctdelco.org
o PACE or PACENET ID Card o Passport o Driver’s License o PA Photo ID Card o INS Resident Alien Card o Naturalization Papers Revised 1/25/2021 Application Continueda. Request for Door to Door Service As stated in the attached Passenger Assistance Policy, Community Transit offers curb-to-curb service, which is
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Eligibility and Registration Form - Reliable
ctdelco.org1 Revised 3/23/2017 Eligibility and Registration Form Rural Transportation for Persons with Disabilities (PwD) Project Reduced fare transportation service may …
To Medical Assistance Transportation Program …
ctdelco.orgTo Medical Assistance Transportation Program Applicants: The enclosed form is an application to determine your eligibility for the Medical Assistance Transportation Program (MATP).
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AGE 65 AND OLDER? PACE AND PACENET ELIGIBILITY …
www.pahousegop.infoApr 01, 2013 · PACE/PACENET may help pay your premium directly to your Part D plan. Contact us at 1-800-225-7223 for more details. PACE/PACENET INCOME REQUIREMENTS —INCOME INCLUDES, BUT IS NOT LIMITED TO, THE FOLLOWING: • •Gross Social Security & SSI (excluding Medicare Premiums) • •Railroad Retirement (RRB1099 & RRB1099R) • •Gross Pensions
AGE 65 AND OLDER? P ACE AND PACENET ELIGIBILITY HOW …
pacecares.magellanhealth.comPACE/PACENET may help pay your premium directly to your Part D plan, including the full Late Enrollment Penalty (LEP). Contact us at 1-800-225-7223 for more details. Applicant Last Name First Name M/I Gender M or F ...
State Pharmaceutical Assistance Programs
www.medicareinteractive.org(PACE) People 65+ 800-225-7223 Pennsylvania Pennsylvania PACE Needs Enhancement Tier (PACENET) People 65+ (higher income limits than PACE) 800-922-9384 Pennsylvania Special Pharmaceutical Benefits Program (SPBP) People with HIV/AIDS 800-922-9384 Pennsylvania Chronic Renal disease ...