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Delaware State Pharmacy Assistance Programs (PDAP)

Delaware Prescription Assistance Program (PDAP)


Eligibility Requirements: You must meet the following requirements:
  • You must be a resident of Delaware.
  • You can’t be eligible for Medicaid or have other insurance that provides drug coverage, excluding Medicare Part D.
  • If you are under age 65, you must be eligible for Social Security Disability (SSDI) benefits.
  • If you are elderly or receive SSDI benefits and have income over 200% of the Federal Poverty Level, you may still be eligible if you have drug costs that are over 40% of your yearly income.
Important Notes:
  • The Delaware Prescription Assistance Program will provide each eligible individual with up to $3000 per year toward medically necessary prescription drugs.
  • The program does not pay for diabetic drugs or supplies for Medicare recipients.
  • Medicare currently provides this coverage for both insulin and non-insulin dependent patients. PDAP does not offer or pay for mail order drugs.
  • Clients must make a co-payment of 25% of the cost of the prescription, or a minimum of $5. The co-pay is collected by the dispensing pharmacy.
  • The pharmacy submits a claim to DPAP and is reimbursed directly.
Contact Information: Phone
(800) 996-9969 EXT: 2

Address
P.O. Box 950
New Castle, DE 19720
» Delaware Prescription Assistance Program (PDAP)




Delaware Chronic Renal Disease Program


Eligibility Requirements: You must meet the following requirements:
  • Must be a Delaware resident.
  • Medically, the individual must be diagnosed with ESRD, be on dialysis, or have had a renal transplant.
  • Financially, the individual, and spouse if applicable, must have income below 300% of the Federal Poverty Level. Resources are not counted.
  • Applicants with a legally married spouse will be considered as a household of two unless the couple is separated and maintains two separate residences for at least 12 months prior to application.
  • Applicants who have Medicare A or B must apply for Medicare Part D Prescription Drug Coverage and if eligible, for Social Security's Extra Help Program, unless they have other insurance that provides equivalent prescription benefits.
Important Notes: Services Covered: Prescription and Over-the-Counter medication; nutritional supplements; Medicare Part D costs (premium, deductible, co-pay, and coverage gap); transportation (to dialysis unit, transplant hospital, related medical appointments). There is no individual funding cap.

Non-covered services: The CRDP will not pay for insurance premiums (other than Medicare Part D), hospitalizations, ancillary services, medical supplies or dialysis treatments.

To start the referral process, the applicant must complete a CRDP application. You should have an application mailed or faxed to you. Contact the Delaware Help Line at 1-800-464-4357 and ask to be transferred to the Chronic Renal Disease Program, or you may call 1-302-424-7180. Once the application has been received by the CRDP office, you will be contacted to schedule an appointment for determining your eligibility for assistance from the Chronic Renal Disease Program.
Contact Information: Phone
(302) 424-7180
(800) 464-4357

Address
Delaware Chronic Renal Disease Program
11-13 North Church Ave
Milford, DE 19963
» Delaware Chronic Renal Disease Program




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Tips & Disclaimers
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  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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