c/o Pool Administrators
628 Hebron Avenue
Glastonbury, CT 06033
» Maryland Senior Prescription Drug Assistance Program
|Eligibility Requirements:||The Kidney Disease Program (KDP) provides reimbursement for approved services required as a direct result of end-stage renal disease (ESRD). KDP eligibility is offered to Maryland residents who are:
|Eligibility Requirements:||A patient is eligible to request financial assistance from the Kidney Disease Program when he/she begins chronic maintenance dialysis in a certified hospital or certified freestanding dialysis facility, or receives a renal transplant in a certified transplantation center.
Based upon financial information provided by a patient at the time of certification/recertification, the Kidney Disease Program may assess an annual Program participation fee. This fee is based on 5% of the amount by which the family income exceeds 175% of poverty level and/or liquid assets exceed 200% of the poverty level guideline adjusted for the family size. The annual participation fee is due quarterly by specified payment dates. Annual recertification is required in order to maintain continuity of Kidney Disease Program coverage.
Covered services related to ESRD include:
Prescription and over-the-counter items in the Kidney Disease Program Reimbursable Drug List (for enrollees who are not Medicare beneficiaries),
Maryland Kidney Disease Program
201 West Preston Street - Room SS-3
Baltimore, MD 21201
» Maryland Kidney Disease Program
|Eligibility Requirements:||You may receive health care services from PAC if you:
|Important Notes:||Persons who are not Medicare beneficiaries and are not eligible for full Medicaid benefits may qualify for coverage of pharmacy benefits through the Primary Adult Care program (PAC).
PAC helps low-income individuals, age 19 and older, pay for the full range of pharmacy services covered under the Medical Assistance Program. The PAC program also covers basic health services.
On January 1, 2014, all active PAC particiapnts will automatically receive full Medicaid benefits.
Primary Adult Care Program
P.O. Box 386
Baltimore, MD 21203
» Primary Adult Care Program (PAC)