Welcome to Senior Rx, Nevada's plan to provide Nevada seniors relief from the high cost of prescription medicine while in the coverage gap ( donut hole). Senior Rx provides assistance to seniors who are eligible for Part D with Medicare Part D expenses.
Senior Rx is funded with a portion of Nevada’s share of tobacco settlement funds and was passed into law during the 1999 legislative session. Many of the program’s benefits are administered through a contracted pharmacy benefit manager (OptumRx). Other benefits are coordinated directly with the Medicare Part D plans that serve as the first prescription drug resource for enrolled members.
- Assistance with prescription costs when in the Medicare Part D coverage gap (donut hole).
- Assistance towards monthly premiums with participating Medicare Part D Prescription Drug Plan (if not qualified for maximum extra help from Medicare with that expense).
who are eligible for Medicare Part D must enroll in Medicare Prescription Drug
Plan and use that program as the first source of help with prescriptions. In
addition, Part C beneficiaries who qualify for Extra Help with Part D costs
(such as premiums, deductibles and co-payments) must apply for and, if
approved, use that help. This is important because the Extra Help may cover
more of the beneficiary’s out-of-pocket costs than the Senior Rx Program. Beneficiaries
with very low incomes and limited assets should contact the Social Security Administration at
Age: Applicant and spouse (if spouse is also applying)
must be 62 years or older at time of application.
Income: Includes income from all sources for both
applicant and spouse. Effective
July 1, 2016, the maximum annual household income for singles is $28,119, and
the maximum annual household income for married couples is $37,483. Proof of income is required when submitting a new application. Acceptable forms for proof of income include your 2016 tax return or 12-months of your most recent bank statements.
Residency: Applicants must have lived continuously in Nevada
for at least 12 consecutive months (one year) prior to the date of application.
If you think you qualify, click
here for the PDF
For additional Senior Rx
information, dial 687-0539 if calling from the Reno-Carson City-Gardnerville
areas, or if outside this area call toll-free 1-866-303-6323 Option 2.
For unbiased FREE Medicare
Counseling or to sign up for a Medicare Part D plan please contact the
State Health Insurance Program (SHIP) by visiting their website at http://www.nevadaadrc.com/services-and-programs/medicare/state-health-insurance-assistance-program-ship or calling
them. Their Nevada Toll Free Hotlines are:
Southern Nevada: 800-307-4444
Northern Nevada: 877-385-2345
If you meet certain income and resource limits, you may qualify for Extra Help from Medicare to pay the costs of
Medicare prescription drug coverage.
In 2016, you may qualify if you have up to
$17,820 in yearly income ($24,030 for a married couple) and up to $13,640 in
resources ($27,250 for a married couple).