New Jersey Medicare
Some of the carriers we represent in the state of New Jersey are: AARP/United Healthcare, Anthem BCBS, Coventry, Empire BCBS, Health Net, Humana, Mutual of Omaha, AmeriHealth, and Secure Horizons. You can also view specific Medicare insurance policies organized by carrier.
New Jersey offers a state program PAAD (also known as the Pharmaceutical Assistance to the Aged and Disabled), which assists income-qualified New Jersey residents cover the costs of their prescription drugs. If you are enrolled in the program and purchase your medications outside New Jersey, your medications will not be subsidized by PAAD. Your drugs must also be sold by a manufacturer who has agreed to terms with New Jersey. If you are seeking a Medicare prescription drug plan, you may have questions about PAAD and Part D of Medicare.
PAAD benefits are available if you are a New Jersey resident; you are at least 65 years of age or at least 18 years of age and receive Social Security Disability benefits; and your annual income for 2009 is less than $23,092 if single or less than $28,313 if married.
If you are a PAAD participant, you will not have to pay the premium for your Part D prescription drug plan as long as you choose a basic Medicare prescription drug plan that is at or below the benchmark premium amount in New Jersey (for 2009, the benchmark premium equals $31.23). However, if you choose to enroll in a Medicare prescription that is above the annual Medicare Part D benchmark premium in New Jersey, you will be responsible for paying the entire monthly premium for that Medicare prescription drug plan.
Additionally, PAAD participants will not be responsible for paying deductibles, co-insurance, or other out-of-pocket costs to use Medicare Part D; PAAD or the federal government pays these costs. All you pay as a participant is the $6 PAAD co-payment for each covered generic drug or the $7 co-payment for each covered brand name drug.
PAAD is a great program to support what can be potentially high costs of Medicare insurance. However, if you don’t have enough information about Medicare Part D plans, you could miss out on PAADs benefits.
If you live in New Jersey, consult with one of our MedicareSolutions.com insurance specialists in order to get personal assistance that is specific to your area. One of our experienced specialists can compare plans for where you live in New Jersey and help you find the Medicare insurance benefits that are right for your needs.
State Assistance Programs
Pharmaceutical Assistance to the Aged and Disabled (PAAD) of New Jersey
PAAD provides state-funded prescription assistance for New Jersey residents. PAAD participants with Medicare will pay no more than the PAAD $6 per prescription co-payment for generic drugs or $7 per prescription for brand name drugs.
Eligibility requirements to be met include:
- You must be a New Jersey resident
- You must be 65 or older or 18 or older and disabled
- You must not be receiving Medicaid
- You must also join a Medicare Part D plan
- Your annual adjusted gross income must be less than $24,432 for individuals and less than $29,956 for married people
For more information call (800)792-9745 or visit the PAAD website.
Senior Gold Prescription Discount Program
New Jersey’s Senior Gold Program provides state-funded prescription assistance for New Jersey residents. Senior Gold co-pay is $15 + 50% of the remaining cost of the prescription or actual drug cost, whichever is less.
Eligibility requirements to be met include:
- You must be a New Jersey resident
- You must be 65 or older or 18 or older and disabled
- You must not be receiving Medicaid
- You must also join a Medicare Part D plan
- Your annual adjusted gross income must be between $24,432 and $34,432 if single or between $29,956 and $39,956 if married.
For more information call (800)792-9745 or visit the Senior Gold website.
To find City-Specific Medicare plans in your area:
