Medicare State Assistance Programs
TweetFor those who are Medicare-eligible but don’t have the funds to fully pay for your plans, many states offer pharmacy assistance programs to help pay for prescription drugs. Below is a list of programs for some states. If your state isn’t listed, call your state’s health department to see if you are eligible for any of their programs. For all or most of the programs, you must be a resident of that state, be 65 years of age or older or be a disabled person over the age of 18 and make less than a certain amount.
Connecticut
- ConnPACE- covers prescriptions, insulin, and insulin syringes with a $16.25 co-pay for each medication.
Delaware
- Delaware Prescription Assistance Program- provides each eligible individual with up to $3000 annually toward medically necessary prescription drugs
Illinois
- SeniorCare- assists people with or without Medicare for almost all prescription drugs.
Indiana
- HousierRx- helps pay for Medicare beneficiaries’ monthly Part D premiums
Maine
- The Main Low Cost Drug Program for the Elderly and Disabled- the state pays 80% minus $2.00 for generic drugs and brand name drugs.
Maryland
- Maryland Pharmacy Assistance Program- Recipients pay $2.50 for generic drugs and $7.50 for brand name drugs
Missouri
- Missouri Rx Plan- the state covers 50% of the out of pocket costs including deductibles, copayments, and coverage gap costs.
Montana
- Big Sky Rx Program- The state program will pay up to $33.19 of monthly Medicare Part D premiums.
New Jersey
- Pharmaceutical Assistance to the Aged and Disabled- PAAD participants will pay no more than $6 per prescription for generic drugs and $7 for brand name drugs
- Senior Gold Prescription Drug Program- Co-pays are $15 plus 50% of the remaining cost of the prescription drug cost
New York
- The New York State Elderly Pharmaceutical Insurance Coverage- EPIC helps pay for most prescription drugs as well as insulin and insulin syringes.
Pennsylvania
- Pharmaceutical Assistance Contract for the Elderly- $6 copayments for generic drugs and $9 copayments for brand name drugs.
Texas
- Texas Kidney Health Care Program- provides assistance for texas residents with a diagnosis of End-Stage Renal Disease. Services include prescription drug benefits, coinsurance, and certain medical expenses.
Again, if your state isn’t listed above you may call your state health department.
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