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 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.
Program Benefits:
- 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).
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, 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 800-772-1213.
Income: Includes income from all sources for
both applicant and spouse. Effective July 1, 2018, the maximum annual household
income for singles is $29,312, and the maximum annual household income for
married couples is $39,073. Proof of income is required when submitting a
new application. Acceptable documents for proof of income are a copy of your
2017 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, click
here for the PDF application.
For additional
Senior Rx information, call 702-486-4307 or 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
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 by calling 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 2018, you may qualify if you have up to
$18,210 in yearly income ($24,690 for a married couple) and up to $14,100 in
resources ($28,150 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.