OBJECTIVES Patient-centered care (PCC) is a critical component of healthcare management of elderly with multimorbidity, especially for those with co-existing chronic physical conditions with mental illnesses. However, little is known about the association between type of multimorbidity and PCC. The objective of this study was to analyze the association between type of multimorbidity and PCC. METHODS A retrospective cross-sectional study design was used. Data were derived from 2011 Access to Care module of the Medicare Current Beneficiary Survey (MCBS).  The study sample (N = 10,158) consisted of community-dwelling elderly Medicare beneficiaries aged 65 years or older with at least one physical chronic condition. Types of multimorbidity (MM) defined as: 1) single physical condition (No MM); 2) two or more physical conditions without mental illnesses (MM-PI); and 3) both mental and physical conditions (MM-MI&PI).  PCC was defined using patient-physician communication and patients’ confidence in physician. Chi-square tests and logistic regressions were used to test the unadjusted and adjusted associations.  RESULTS A lower percentage of elderly Medicare beneficiaries with MM-MI&PI had optimal patient-physician communication (73.5%) and high confidence in their physicians (86.1%) as compared to those with No MM (79.1% and 90.2%). Without adjustments for health status, elderly with MM-MI&PI were less likely to have optimal patient-physician communication (OR = 0.74, 95% CI [0.61, 0.88]) and confidence in their physicians (OR = 0.67, 95% CI [ 0.53 ,  0.86]) as compared to elderly with no MM.  The relationship between multimorbidity and PCC was not statistically significant after adjusting for general health and functional status. However, those with MM-MI&PI were as likely as those with MM-PI to have optimal patient-physician communication and confidence in their physicians.  CONCLUSIONS Those with multiple conditions faced poor communication and low confidence in doctor as compared to those with single physical condition. However, type of multimorbidity was not associated with PCC.