Prisma Health PACE-Midlands - Medicare Only (PACE)
Coordinated care
PACE coverage and eligibility
PACE coordinates medical care and social support for eligible adults who need nursing home-level care and can remain in the community with assistance.
Eligibility requires age 55 or older, residence in the organization's service area, state certification of nursing home-level care needs, and the ability to live safely in the community with PACE support.
PACE provides Medicare and Medicaid services, prescription drugs, and additional care that its care team determines is needed.
There is no deductible, copayment, or coinsurance for care, services, and drugs approved by the PACE care team.
Medicaid participants pay no monthly PACE premium. Medicare participants without Medicaid pay premiums that depend on their Part A and/or Part B coverage, including long-term care and drug coverage. People with neither Medicare nor Medicaid can pay the PACE premium themselves. Ask the organization for your amount.
PACE supplies necessary medicines. Enrolling in a separate Medicare drug plan causes disenrollment from PACE.
The annual CMS record identifies this organization and its geography. A plan-specific premium amount is unavailable in the reviewed extract; confirm eligibility, availability, and costs with the organization.
Program guidance reviewed October 11, 2026; it is general Medicare guidance, not a published 2027 price schedule.
Source trail
Official CMS, Contract Year 2027
Plan identity and annual geography come from the reviewed CMS extract. Program guidance and document resources are identified separately; unavailable annual amounts remain unavailable.
Plan context
Where H4203-002-000 fits
- Full CMS plan ID
H4203-002-000- Contract
H4203- Base plan code
H4203-002- Segment
000- Carrier
- Prisma Health SeniorCare PACE-Midlands
- Plan type
- National Pace
- Service area
- Richland and Lexington Counties (SC)
County/service-area foundation
CMS service-area entries
Service areas come from the annual CMS PlanArea and PlanRegionArea tables for this exact contract, plan, and segment. Partial-county and employer/group qualifiers remain part of the coverage area. Regional PPO county entries use the matching annual Landscape expansion of the CMS region.
- Lexington, SC
- Richland, SC
Exact county navigation
Counties with exact segment geography
These links are limited to named counties tied to this exact medical plan segment. Partial-county entries remain labeled for verification.
Show 2 county links
About this code
What H4203-002-000 identifies
H4203-002-000 is a Contract Year 2027 Medicare plan segment code. Searches written as H4203-002, H4203 002, or the compact full CMS ID H4203002000 refer to this plan or its base plan code.
Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.