I Can't Afford My Medications

1)  Are you eligible for the Medicare Part D
     Low Income Subsidy Program called
     Extra Help?

     Income eligibility guidelines
     (150% Poverty Level):

     Household of 1:  $1,225 per month
     Household of 2:  $1,650 per month

     To apply, Ohio residents call
     Pro Seniors at:
     (800) 488-6070 or (513) 345-4160

     others call SSA at:  (800) 772-1213 or go to
     www.socialsecurity.gov

2)  Are you eligible for a Pharmaceutical
     Company Patient Assistance Program?

     Patient Assistance Program Eligibility Criteria
     and Medicare Part D Chart

3)  If age 60 or over, sign up for Ohio's
      Best Rx and/or the Ohio Buckeye
      Discount Drug Card Program.

      Ohio's Best Rx

      Ohio's Golden Buckeye Card

4)  Medicare explains how you use a Drug
      Discount Card with your Medicare D
      Prescription Drug Plan.

      Individual obtains a better price on a covered
      Part D drug at the point of sale than the
      negotiated price charged by the plan while in
      the coverage gap- Will that lower amount
      count towards TrOOP?

      TrOOP is True Out Of Pocket costs paid by you.

5)  Medicare has two tip sheets related to the
      coverage gap (sometimes called the
     "donut hole") that affects about 28% of
     people with Medicare who have drug
     coverage in a plan that has a coverage gap.

• One tip sheet, "How the Coverage Gap works for People with Medicare Prescription Drug Plans," is a tip sheet for partners who work with people with Medicare and contains several questions and answers related to the coverage gap.
   
• The second tip sheet, "Bridging the Coverage Gap," is written for distribution to people with Medicare and includes information on ways people can avoid or delay entering the gap, and continue to save money on drug costs while in the gap.

6)  Helpful links.

Rx For Ohio
     A Web site designed to help low-income,
     uninsured Ohio residents get free or
     discounted brand-name medicines. A service
     brought to you by a collaboration of
     concerned individuals and organizations
     joining America's pharmaceutical companies
     to improve health care access for the citizens
     of Ohio.  Clients can also call:
     1-888-4PPA-NOW (1-888-477-2669)

     See www.pparx.org for the national site
     where you choose your state and for Ohio
     it redirects you to Rx For Ohio. 
     Click here for additional information.
 

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Partnership for Prescription Assistance additional information.

The Partnership for Prescription Assistance brings together America’s pharmaceutical companies, doctors, other health care providers, patient advocacy organizations and community groups to help qualifying patients who lack prescription coverage get the medicines they need through the public or private program that’s right for them. Many will get them free or nearly free. Its mission is to increase awareness of patient assistance programs and boost enrollment of those who are eligible. Through this site, the Partnership for Prescription Assistance offers a single point of access to more than 475 public and private patient assistance programs, including more than 150 programs offered by pharmaceutical companies. To access the Partnership for Prescription Assistance by phone, you can call toll-free, 1-888-4PPA-NOW (1-888-477-2669).

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