New Jersey PAAD and Senior Gold Programs: Help with Medicare Part D in NJ

New Jersey PAAD - New Jersey Senior Gold Programs

There are two Pharmaceutical Assistance Programs in New Jersey: New Jersey PAAD program and New Jersey Senior Gold program. Both of these help with Medicare Part D. They provide low-cost prescription drugs to qualified New Jersey residents having Medicare. Both are coupled with Medicare Part D.

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

  • Eligibility

– Age 65 or older, or 18 or older and disabled; and

– A New Jersey resident; and

– Annual gross income must be less than $26,655 for individuals and less than $32,680 for married couples; and

– If you are eligible for Medicare, you must enroll in a Medicare Part D Prescription Drug Plan unless prohibited from doing so.

  • Benefits

– Drug cost will be no more than $5.00 per PAAD covered generic drug or $7.00 for PAAD covered brand name drug.

– PAAD will pay the monthly premium for certain standard basic Part D plans with a monthly premium at or below the regional benchmark.

– Coverage for deductibles, co-insurance, and the coverage gap.

  • Cost

– There are no costs to participate.

For more details of the New Jersey PAAD program, please visit PAAD Program, or call toll free 1-800-792-9745.

New Jersey Senior Gold Prescription Discount Program

  • Eligibility

                – Age 65 or older, or 18 or older and disabled; and

                – A New Jersey resident; and

                – Annual gross income must be between $26,655 and $36,655 for individuals and between $32,680 and $42,680 for married couples; and

                – If Medicare-eligible, must enroll in a Medicare Part D Prescription Drug Plan unless prohibited from doing so.

  • Benefits

– Copayment for Senior Gold covered drugs is $15 plus 50% of the remaining cost of the prescription or actual drug cost, whichever is less.

– Once the beneficiary’s annual out of pocket expenses reach catastrophic gap ($2,000 for individuals and $3,000 for married couples), copayment is $15 (or the reasonable cost of the drug, whichever is less) for the balance of that eligibility period.

  • Cost

– There are no costs to participate.

For more details of the available New Jersey Senior Gold program, please visit Senior Gold Program, or call toll free 1-800-792-9745.