- United States
ou may be eligible for PAAD if you meet the following requirements:
A New Jersey resident;
65 years of age or older or 18 years of age or older and receiving Social Security Title II Disability benefits; and
Annual income for 2015 of less than $26,575 if single or less than $32,582 if married; and
Medicare-eligible PAAD beneficiaries are also required to enroll in a Medicare Part D Prescription Drug Plan in New Jersey. PAAD will pay the monthly premium for certain standard basic Part D plans with a monthly premium at or below the regional benchmark or standard basic plans or enhanced plans up to $20 above the benchmark amount that has no deductible. These plans will cover medically necessary prescription medications under Medicare Part D. The federal Medicare Plan and/or PAAD will pay any costs above the PAAD co-payment of $5 for each covered generic drug or $7 for each covered brand name drug, including premiums. However, if a Medicare Part D plan does not pay for a medication because the drug is not on its formulary, PAAD beneficiaries will have to switch to drug on their Part D plan’s formulary, or their doctor will have to request an exception due to medical necessity directly to their Part D plan. Medicare Advantage participants must add a prescription benefit to their coverage, and PAAD will contribute up to the regional benchmark amount towards the prescription portion of their total premium. To find out which basic Part D plans in New Jersey for which PAAD pays the monthly premium, please call 1-800-792-9745.
Please login to add your review.