State Pharmaceutical Assistance Program: Maryland

Every year, millions of Medicare beneficiaries wonder how they are going to pay for their medications and their Medicare part D prescription drug plan. Often, they aren’t able to work and provide an income to help pay for their expenses. Because the cost of medications and prescription drug plans rise annually, there are many that don’t know how they are going to manage the expense on a limited income. Those that do look for help don’t realize they are able to get help from state specific programs.

There are some states that offer their residents help paying for their prescription drug medicines, their Medicare part D prescription drug plan or both. The states that choose to offer these programs to residents have different eligibility requirements but they are very beneficial to those that qualify.

Maryland has assistance programs available. They are one of the states that offer state pharmaceutical assistance programs to residents.

Maryland Senior Prescription Drug Assistance Program

The Maryland Senior Prescription Drug Assistance Program is the SPAP for Maryland. This is a program that is only for those that live in Maryland. People that don’t live in Maryland should not apply. Residents that want more information should call 800-551-5995.

Eligibility Requirements:

Maryland residents that meet the following requirements should call for more information and to apply.

  • Must be enrolled in a Medicare part D prescription drug plan or a Medicare Advantage prescription drug plan
  • Must be a Maryland resident for the past 6 months or more
  • Must have an income up to 300% of the federal poverty level
  • Must not have any other prescription drug coverage or benefits
  • Must not be eligible for full Low Income Subsidy Program benefits

Who to Contact:

Those that want to apply can apply at the following address:

Maryland SPDAP

c/o Pool Administrators

628 Hebron Avenue

Suite 212

Glastonbury, CT. 06033

What are the Benefits?

Those that apply for the Maryland SPDAP will enjoy the following benefits:

  • The program will pay up to $40 monthly for their premium payments for their prescription drug plan or Medicare Advantage drug plan
  • The program will pay for up to 95% of their medication copayments and coinsurances when the participant reaches the coverage gap/donut hole

Maryland Kidney Disease Program

The Maryland Kidney Disease Program is for the legal residents of Maryland. Those that don’t live within the state should not apply. Those that are interested should contact the program at 410-767-5006 or 800-226-2142.

Eligibility Requirements:

Those that meet the following requirements should contact the program for more information or apply.

  • Residents of the United States and Maryland
  • Diagnosed with ESRD (end stage renal disease)
  • Receiving home dialysis or treatment in a certified dialysis or transplant facility

Who to Contact:

Those that would like to apply should apply at:

Maryland Kidney Disease Program

201 West Preston Street

Room SS-3

Baltimore, Md. 21201

What are the benefits?

Those that qualify for the program will enjoy the following benefits:

Those that qualify for the program can receive reimbursement for the following services:

  •                 Chronic maintenance in center and home dialysis
  •                 Renal transplantation
  •                 Physician fees
  •                 Lab tests
  •                 Prescription and over the counter items in the Kidney Disease Program Reimbursable Drug List
  •                 Approved Medicare deductibles and coinsurance

*The financial benefits of this program are based upon the financial information that is given to the program at the time of application. There will be an annual participation fee that is assessed to those that have an income over certain standards. Those that want to apply should contact the program for a clear explanation of that fee.

Those that qualify for either of these programs are encouraged to apply. Those that don’t qualify shouldn’t give up their search for prescription drug assistance. They should look for federal assistance through the Social Security Administration’s Low Income Subsidy Program.

Jan. 12 14'

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