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. Program benefits are coordinated directly with the Medicare Part D Plans that serve as the first prescription drug resource for enrolled members.
2019 Program Benefits:
- Assistance with
prescription costs when in the Medicare Part D Gap/Donut Hole.
- Assistance of up to $27.08 towards monthly premiums with
participating Medicare Part D Prescription Drug Plan (if not
qualified for maximum extra help from Medicare with that expense)
- Plan selection options for members that benefit their individual health needs
Program Changes Effective January 1, 2020
- The Senior Rx Program will become a Medicare Part D Premium Subsidy Only Program.
- Becoming a Part D Premium Subsidy Only Program means that the SRx Program will increase our members' monthly Part D Premium subsidy amount up to $37.00 per month (depending on the member's Part D plan)
- The program will no longer cover the cost of medication while the member is in the Medicare Part D Gap/Donut Hole. With an up to $37.00 monthly subsidy, SRx members will be encouraged to evaluate and select the Part D Plan, or Medicare Advantage Plan with a Part D coverage, that best meets their individual health needs and may reduce their out of pocket costs.
Qualifications:
Eligible for
Medicare: Applicants
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, 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 800-772-1213.
Eligible for
Medicare: Applicants
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, 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 800-772-1213.
Income: Includes income from all sources for
both applicant and spouse. Effective July 1, 2019, the maximum annual household
income for singles is $29,869, and the maximum annual household income for
married couples is $39,816. Proof of income is required when submitting a
new application. Acceptable documents for proof of income are a copy of your
2018 tax return or 12-months of your most recent bank statements (deposit page
only).
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, complete the 2019 Senior Rx/Disability RX Application.
For additional Senior Rx information, call toll free 1-866-303-6323 option 2 or send an email to nvrx@adsd.nv.gov.
For unbiased FREE Medicare Counseling or to sign up for a Medicare Part D plan, please visit the State Health Insurance Program (SHIP) website or by call them at: 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 2019, you may qualify if you have up to $18,735 in yearly income ($25,365 for a married couple) and up to $14,390 in resources ($28,720 for a married couple). To apply, contact the Social Security Administration at 800-772-1213 (TTY 1-800-325-0778) or Medicare at 800-633-4227.