Medicare.gov

Medicare health plans that lower costs

There are Medicare-approved health plans that can help lower costs for some people:

  • Special Needs Plans
  • Programs of All-inclusive Care for the Elderly (PACE)

Each health plan type has its own benefits and eligibility requirements.   

Type of planWho's eligibleSpecific benefits
Special Needs Plans

You can join this type of Medicare Advantage Plan if one is available in your area and any of these apply to you:

  • Have both Medicare and Medicaid.
  • Need long-term care in a facility or at home.
  • Have a chronic or disabling condition (like diabetes, stroke, cancer, or dementia).

These plans:

  • Tailor their benefits, provider network, and drug formularies to the needs of the specific group they serve.
  • Help coordinate your care.
  • Include Medicare drug coverage (Part D) .

Learn more about Special Needs Plans.

Programs of All-inclusive Care for the Elderly (PACE)

You can join a PACE Plan if you:

  • Have Medicare, Medicaid, or both.
  • Are 55 or older.
  • Live in the service area of a PACE organization.
  • Need nursing home-level care (as certified by your state).
  • Are able to live safely in the community (with help from PACE).

These plans:

  • Are only available in some states.
  • Include Medicare drug coverage (Part D).
  • Never charge a deductible or copayment for any drug, service, or care your PACE health care team approves.

Learn more about PACE plans.

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