The Disability Rx Program is a state pharmaceutical assistance
program for low-income seniors and persons with disabilities who are Medicare
eligible and do not qualify for other services/programs, such as Extra Help or
Disability 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 for members are coordinated directly with
the Medicare Part D (PDP) or Medicare Advantage Plan (MAPD) that is contracted
with the Disability Rx program.
2021 Program Benefits:
- Provides a monthly subsidy of up to $37.00 for Medicare
Part D or Advantage Plan Part D premiums for eligible members (depending on the member’s
Part D plan and if not qualified for
maximum extra help from Medicare).
- Plan selection options for members that benefit their
individual health needs.
Program Changes Effective January 1, 2020
- The Disability Rx Program is a Medicare Part D Premium
Subsidy Only Program.
- As a Part D Premium Subsidy Only Program, the Disability
Rx Program will pay the members monthly Part D Premium subsidy amount up
to$37.00 per month (depending on the member's Part D
- The Disability Rx 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, Disability Rx
members are encouraged to evaluate and select a Part D Plan, or Medicare Advantage
Plan with Part D coverage, that best meets their individual health needs, and
may reduce their out of pocket costs.
Applicants must be enrolled in a
participating Medicare Part D Plan (PDP) or a Medicare Advantage Plan including
Part D (MAPD). In addition, beneficiaries who qualify for
Extra Help with Part D costs (such as premiums, deductibles and co-payments)
must, 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 Disability Rx
Program. Beneficiaries with very low incomes and limited assets should contact
the Social Security Administration at 800-772-1213.
Requirement: Disability Rx - Applicant must be 18 - 61 years of age.
Income: Includes income from
all sources for both applicant and spouse. Effective July 1, 2019, the maximum
annual household income for singles is $30,984, and the maximum annual
household income for married couples is $41,302. Proof of income
is required when submitting a new application. Acceptable documents for proof
of income may include a copy of your current tax return, and/or credible documentation
of income source.
Rx program may request two-months copies of your most recent bank statements (deposit
page only) to support income source.
Rx program does factor in the current years IRS Standard Deduction when
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 2021 Senior Rx/Disability RX Application
For additional Disability Rx
information, call toll free 1-866-303-6323 option 2 or send an
email to firstname.lastname@example.org.
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 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 2021, you may qualify if you have up to $19,320 in yearly income
($26,130 for a married couple) and up to $13,110 in resources ($26,160 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.