NJ PAAD and Senior Gold Discount Programs – 2023: Help with Medicare Part D in New Jersey

UPDATED Aug. 19, 2023.  There are two State Pharmaceutical Assistance Programs in New Jersey: NJ PAAD program and the NJ Senior Gold Discount 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.

NJ 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
  • Cannot have Medicaid or have insurance that provides prescription coverage equal to or better than PAAD; and
  • Annual gross income for 2023 must be less than $42,142 for singles and less than $49,209 for married couples; and
  • If you are eligible for Medicare, you must enroll in a Medicare Part D Prescription Drug Plan

• 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 or standard basic plans or enhanced plans up to $20 above the benchmark amount that have no deductible. It also will pay Part C premium – up to $37.33 of drug benefit in any Medicare Advantage Plan.
  • Part D deductible is paid by PAAD.
  • Only Drugs approved by the Food and Drug Administration are covered. Drugs purchased outside the State of New Jersey are not covered.

• Cost

– There are no costs to participate.

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

NJ Senior Gold Prescription Discount Program

• Eligibility
  • Age 65 or older, or 18 or older and disabled; and
  • A New Jersey resident; and
  • Cannot have insurance that provides prescription coverage equal to or better than Senior Gold; and
  • Annual gross income for 2023 must be between $42,142 and $52,142 for singles and between $49,209 and $59,209 for married couples; and
  • If Medicare-eligible, then you must enroll in a Medicare Part D Prescription Drug Plan.

• 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), the copayment is $15 (or the reasonable cost of the drug, whichever is less) for the balance of that eligibility period.
  • Reducing costs for deductibles, co-insurance, and the coverage gap known as the “donut hole”
  • Only Drugs approved by the Food and Drug Administration are covered. Drugs purchased outside the State of New Jersey are not covered.
  • Person must pay full premium for a Part D Plan or Medicare Advantage Plan.

• Cost

– There are no costs to participate.

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

How Can Liberty Medicare Help with Drug Costs?

Liberty Medicare is a leading insurance agency that specializes in Medicare insurance in New Jersey. All our services are absolutely free to you. An essential part of our job is to provide suggestions on available Medicare Extra Help Programs and State Pharmaceutical Assistance Programs (such as PAAD and Senior Gold Discount programs) that will help with your Prescription Drug expenses.

You should be aware that Medicare Extra Help Programs and State Pharmaceutical Assistance Programs (SPAPs) qualify for the Special Enrollment Period (SEP). It allows you to change your Medicare Advantage or Prescription Drug Plan once per calendar quarter during the first nine months of the year.

Learn more about all the benefits of working with Liberty Medicare.

Receive our Medicare Quotes, or give us a call at 877-657-7477, and you will be connected to a licensed agent/broker.