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Prescription Advantage
What is Prescription Advantage?
Prescription Advantage is a state-sponsored prescription drug insurance plan for Massachusetts seniors and disabled residents who meet eligibility requirements. For people on Medicare, Prescription Advantage helps pay Part D Prescription Drug Plan costs. For people not on Medicare, the program offers primary prescription drug coverage. Costs depend on household income.
Am I eligible?
To be eligible for Prescription Advantage, you must be a Massachusetts resident who is 65 years or older; or a Massachusetts resident under 65 who is disabled and meets the income and employment guidelines. Medicare recipients must join a Prescription Drug Plan (PDP) or a Medicare Advantage Plan with drug coverage, or have comparable coverage through an employer or union. You cannot join this program if you get prescription drug benefits through MassHealth. Your immigration status and your current state of health do not affect your eligibility.
What benefits will I get?
Prescription Advantage helps pay Part D Prescription Drug Plan costs for people on Medicare. For people not on Medicare, Prescription Advantage covers most outpatient prescription drugs. Members pay a co-payment for each prescription filled, up to an annual spending limit. Some members also pay quarterly deductibles. The amount of the co-payments and deductibles depends on your household income. For details, see Benefits with Medicare and Benefits without Medicare on MassResources.org.
How do I apply?
To apply for Prescription Advantage, you should call 1-800-AGE-INFO, or download an application from the Prescription Advantage web site. Worcester residents can get information and an application for Prescription Advantage from SHINE at the Worcester Senior Center, 125 Providence St., Worcester, MA 01604, telephone 508-799-1230. Residents can also call the Central Mass. Agency on Aging (508-852-5539) or Elder Services of Worcester (508-756-1545). For more contact information, see Worcester Benefit Office Locations - Aging Services Access Points.
How do I use my benefits?
People with a Medicare Prescription Drug Plan (PDP) should bring both their PDP benefit card and their Prescription Advantage card when they buy prescription drugs. People not on Medicare use just their Prescription Advantage benefit card. You can use your Prescription Advantage card at retail pharmacies throughout the country. Prescription Advantage also offers mail order service so you can fill your prescriptions by mail, phone, or via the Internet.
More information
More information about Prescription Advantage is on our statewide web site, MassResources.org. When you click on the link below, you will go to MassResources.org. Click "Back" on your browser to return to WorcesterResources.org.
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