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Nevada State Pharmacy Assistance Programs (SPAP)

Nevada Senior Rx, and
Nevada Disability Rx




Nevada Senior Rx Program


Eligibility Requirements: You must meet the following requirements:
  • 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.
  • Age: Applicant and spouse (if spouse is also applying) must be 62 years or older at time of application.
  • 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.
  • Residency: Applicants must have lived continuously in Nevada for at least 12 consecutive months (one year) prior to the date of application.
Important Notes: Nevada’s Senior Rx prescription 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).
Other information:
  • 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 provides assistance to seniors who are eligible for Part D with Medicare Part D expenses.
  • 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.
  • Applicant must not be receiving full Medicaid assistance or 100% Extra Help from Medicare (Full LIS).
Contact Information: Phone
(866) 303-6323, option 2
(775) 687-4210

Address
Nevada Senior Rx Program
Department of Health and Human Services
3416 Goni Road, Suite D-132
Carson City, NV 89706
» Nevada Senior Rx Program



Nevada Disability Rx


Eligibility Requirements: 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.
Age:
  • Applicant and spouse (if spouse is also applying) must be 18-61 years old at time of application collecting long-term Social Security Disability and Medicare-eligible.
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.
Residency:
  • Applicants must have lived continuously in Nevada for at least 12 consecutive months (one year) prior to the date of application.
Important Notes: 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)
  • Applicant must not be receiving full Medicaid assistance or 100% Extra Help from Medicare (Full LIS).
Contact Information: Phone
(866) 303-6323, option 2
(775) 687-4210

Address
Nevada Disability Rx
Department of Health and Human Services
3416 Goni Road
Building D, Suite 132
Carson City, NV 89706
» Nevada Disability Rx




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» Medicare Supplement FAQs




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Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • 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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