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Prescription Assistance for New Jersey

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Program Name Senior Gold Prescription Discount Program
Phone 1-800-792-9745
Who is eligible
  1. You must be a New Jersey resident, age 65 or older or receiving Social Security Title II disability benefits.
  2. You must have an annual income between $21,850 - $31,850, if single or $26,791 - $36,791 combined income, if married. Income limits will be adjusted upward annually, tied to the increase in the cost-of-living.
 
Where to apply New Jersey Department of Health and Senior Services
Senior Gold Prescription Discount Program
P.O. Box 724
Trenton , NJ 08625
Link to state website http://www.state.nj.us/health/seniorbenefits/seniorgolddiscount.htm
Important Notes

The state will not cover premiums for SPAP members, but it will offer assistance with deductibles, copayments, and the coverage gap. The state is not auto-assigning the Senior Gold members into PDPs. Instead, the state applied their criteria for auto-assignment to these members and sent them a letter recommending the plans that best meet their needs, and encouraging them to enroll.




Senior Gold participants can receive their prescription drugs at the pharmacy of their choice. The total cost of the prescription to the Senior Gold Beneficiary will be a $15 co-pay plus 50% of the remaining cost of the drug. Senior Gold participants with prescription costs exceeding $2,000 a year (if single) or $3,000 a year (if married) will have 100% of their prescription costs paid after paying the $15 co-pay per prescription during the annual 12 month eligibility period. This period is based on the initial date of enrollment. Applications are available at local pharmacies, senior citizen centers, county Offices on Aging, visiting the Senior Gold Website, or by writing to the address listed above.
NOTE: PAAD and Senior Gold only cover drugs approved by the Food and Drug Administration. Drugs purchased outside the State of New Jersey are not covered, nor are any pharmaceutical products whose manufacturer has not signed a rebate agreement with the State of New Jersey.
 

Program Name Pharmaceutical Assistance to the Aged and Disabled (PAAD) Program
Phone 1-800-792-9745
Who is eligible You must meet the following requirements:

  • You must be a N.J. resident.
  • You must be 65 years of age or older or at least 18 years of age and receiving social security benefits.
  • You must not be receiving Medicaid benefits or have any other prescription drug coverage that is better than PAAD. However, you are eligible if your insurance plan offers limited or partial coverage.
  • You must have annual income of $21,850 or less if single, or a combined annual income of $26,791 or less if married. 
Where to apply PAAD-HAAAD
P.O. Box 715
Trenton , NJ 08625
Link to state website  
Important Notes The application for this program is available online. Husband and wife must file separate applications.

The 800 number listed above is for in state residents only.

The state will cover all premiums and deductibles, and will cover the coverage gap for its SPAP members. In addition, the state will cover all copayments that exceed the $5 SPAP copayment. The state has authorized representative status and is using this authority to enroll their members in PDPs.


The SPAP provides prescription drugs with a $5 copayment for members.
 


 

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Senior Care Concepts, 2008