Need Help? Call 1-800-225-7223

BY PHONE

Phone

Applications can be t​aken over the phone.

Toll-free number:
1-800-225-7223

TTY/TDD:
1-800-222-9004

Monday - Friday
8:30 a.m. - 5:00 p.m.

Please have your income and insurance information available.

ONLINE

Computer
Get Started

Apply online using your desktop or laptop computer.

BY MAIL

Email

Download Application
Mail your application to us at:
PACE/PACENET
PO BOX 8806
HARRISBURG, PA 17105-8806


Download Application
(Spanish version)

BY FAX

Fax

Download Application
Fax ​your application to us at:
1-888-656-0372

Download Application
(Spanish version)

Walkin options: Legislative District Offices, Senior Centers, Pharmacies, Local Area Agency on Aging, and Physician Offices