State Pharmaceutical Assistance Program: New Jersey

Millions of Medicare beneficiaries are struggling to pay for their Medicare part D premiums each month. There are some that can’t afford to pay for their medications each month based on the tiers their prescription drug plan have them labeled. Those that struggle to pay for these things don’t always know how to get the help they need. Most Medicare beneficiaries look for help from the federal government. Although the federal government can help millions, there are some Medicare beneficiaries that would get much more help if they contacted their state government for help. Those that go to the state for help paying for their medicinal expenses often find there are specific programs available.

New Jersey is a state that offers help through state pharmaceutical assistance programs.

New Jersey Senior Gold Prescription Discount Program

The New Jersey Senior Gold Prescription Discount Program is one of the SPAPs, state pharmaceutical assistance programs, available to New Jersey residents only. Those that don’t live in New Jersey shouldn’t apply for the benefits. Residents of New Jersey should contact 800-792-9745 for more information.

Eligibility Requirements

Those that are interested in applying should meet the following requirements:

  • Must be a New Jersey resident
  • Must be 65 years old or older OR 18 years of age and older AND receiving Social Security Title II Disability
  • Must have an annual income of $26,130-$36,130 for a single; $32,037-$42,037 for a married couple
  • Must be enrolled in a Medicare Part D prescription drug plan of their choice

Who to Contact

Those that meet the requirements should contact:

Senior Gold Prescription Discount Program

Po Box 715

Trenton, NJ. 08625

What are the Benefits?

Those that apply and are approved for the New Jersey Senior Gold Prescription Discount Program will enjoy a huge financial difference when they go to the pharmacy to pay for their prescriptions. Those that are approved will pay a copayment of $15 plus 50% of the remaining cost of the prescription. This program helps beneficiaries pay their deductible and copayments through the rest of the Medicare part D prescription drug plan levels. After an out of pocket maximum of $2,000 for singles and $3,000 for married people has been met, the copayment will lower to $15 for the remainder of the calendar year.

The program does NOT pay for diabetic testing supplies. Those supplies and others may be covered by Medicare part B or D.

New Jersey Pharmaceutical Assistance to the Aged and Disabled Program (PAAD)

The New Jersey Pharmaceutical Assistance to the Aged and Disabled Program (PAAD) is another program available to New Jersey residents. Those that are not residents of New Jersey should not apply. Residents that would like to apply or get more information should call 800-792-9745.

Eligibility Requirements

Those that would like to apply for this program should meet the following requirements:

  • Must be a New Jersey resident
  • Must be 65 years of age or older OR 18 years of age AND receiving Social Security Title II Disability benefits
  • Must not have any other prescription drug plan coverage (aside from Medicare part D prescription drug plan coverage)
  • Single individuals can’t have an income of more than $26,130 and married couples can’t have a combined income of more than $32,037
  • Must be enrolled in a Medicare part D prescription drug plan

Who to Contact

Those that are interested in applying for assistance should contact

PAAD-HAAAD

Department of Human Services

Po Box 715

Trenton, NJ. 08625

What are the Benefits?

Those that are eligible and accepted into this SPAP will enjoy the following benefits:

  • Coverage for medications, insulin and insulin supplies on the formulary
  • Reduced copayments- $5 for generic medications on the formulary and $7 for each brand named medication on the formulary

*Medications that are NOT on the Medicare part D prescription drug plan formularies will NOT be paid for by PAAD.

*SOME beneficiaries will receive assistance in paying for their Medicare prescription drug plan premiums. It depends on what plan the beneficiary is enrolled in. For more information, beneficiaries will have to contact a plan administrator.

Those that aren’t eligible for either of these programs should continue to seek help with the federal government. Those residents should contact the Social Security Administration to apply for the Low Income Subsidy Program.

Jan. 16 14'
I for my part tried to shed some light on a blind, naked, poor man, and he (you) did not want to change his suifnl ways. You will not be able to respond to this as you'll be blocked. Oh and if you've managed to read this far into it without sitting on your thumb, or worse..! then all I have to say is read your bible
May. 25 14'

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