State Pharmaceutical Assistance Program: Indiana

The rising costs of medications and Medicare prescription drug plans have put some Medicare beneficiaries in a serious financial bind. There are thousands of Medicare part D beneficiaries that find themselves unable to pay for their prescription drug plan or their medications. Many of these beneficiaries begin to look for help but limit their searches to those programs that have a nationwide outreach. They don’t realize their state may have a program that will help with their Medicare part D prescription drug plan expenses.

The states that offer assistance have programs called state pharmaceutical assistance programs. These state pharmaceutical assistance programs, SPAPs, are put in place to help those that live in those specific states. These states have their own criteria that residents have to satisfy to ensure the benefits are being used for those that need it living in the state.

States that have SPAPs are very familiar with the struggles their residents have. They are aware that some Medicare beneficiaries need help. The SPAPs these states have put in place are designed to provide some relief to the residents that need it.

Indiana is a state that offers its residents help through their state pharmaceutical assistance program.

HoosierRx

HoosierRx is the SPAP for Indiana. Those that don’t live in Indiana shouldn’t apply for these benefits because it’s not something that is open for non-Indiana residents. Those that are interested in getting more information should call 866-267-4679 or 317-234-1381.

Eligibility Requirements:

Those that want to apply to this program should meet the following requirements:

  • Must be an Indiana resident
  • Must be 65 years of age or older
  • Annual incomes must be $16,995 (single) or $22,935 (married couples combined)
  • Must be enrolled in a Medicare Prescription Drug plan that works with HoosierRx (call HoosierRx for a list of Medicare part D insurance providers they work with)
  • Must have applied for additional help through the Social Security Administration (apply for Low Income Subsidy)

To Apply, Contact:

HoosierRx

402 W. Washington Street

Room W374, MS07

Indianapolis, In. 46204

What are the Benefits?

This is a SPAP that has a small benefit for its members. Those that apply and are accepted into the program will find this program will only help pay for the premiums to their Medicare part D prescription drug plan. Not all Medicare prescription drug providers work with HoosierRx. It is up to the applicant to find a Medicare prescription drug plan that fits their needs and works with the SPAP.

The maximum that HoosierRx will pay for premiums for any individual Medicare part D prescription drug plan premium is $70. If a Medicare beneficiary’s premium is more than $70 each month, the beneficiary will be responsible for the balance after the $70 is paid. Any premium assistance that a member receives is paid directly to the Medicare part D prescription insurance provider on the member’s behalf. No money will be directed to the Medicare beneficiary.

Those that want to apply for this program should contact the program directly. Those that don’t qualify for this program should contact their local state health information program. This is a program that is free for everyone to use. The state health information program will tell Indiana residents of different assistance programs available to them and can possibly give them the information they need to start the application process.

People that don’t have help immediately through the state they live in shouldn’t stop looking for assistance. They should continue looking for assistance with the Social Security Administration. The Social Security Administration sponsors the Low Income Subsidy program that can provide enormous assistance to those that qualify.

Dec. 31 13'
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May. 26 14'

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