Participant's Rights and Policies

Bill of Rights

View the LIFE PACE participant Bill of Rights

Notice of Privacy

View the LIFE PACE Notice of Privacy

Notice of Non-Discrimination

View the LIFE PACE Notice of Non-Discrimination

Grievances & Appeals

File a grievance
File an appeal for denial of coverage
 

Appointment of Representative

If you would like someone to represent you in your dealings with Medicare, you must sign and submit a written statement to Social Security. You may use Appointment of Representation CMS Form 1696 for this purpose. Appointment of Representation CMS Form 1696 (PDF)  

Enrollment Process

For Participants, family members or their representative that may have questions about the enrollment process or status of their enrollment, please call (918) 949-9969. Download the LIFE PACE enrollment agreement here.

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