|
Program |
Who is Eligible? |
Income Criteria |
Patient Co-pay |
Usual Turnaround Time |
Additional Information |
| Medicaid |
- Patients who are disabled
- Patients at least 65 years old
- Children under the age of 18
- Pregnant Women
|
- At least $748/mo for household of 1 for full coverage
- Above this income, patient will have monthly spenddown
|
- $0-$3 with full coverage
- If not covered fully each month, patient must submit bills/receipts in amount of monthly spenddown
|
Minimum 45 days |
Preferred Drug List |
| Medicare |
- Patients who are disabled
- Patients at least 65 years old
|
- None
- Patients pay $66.60/month premium for Part B
|
- 20% after $100 annual deductible (billed through UICMC) |
Variable |
- Covers immunosuppressant medications for 3 years post-transplant or lifetime, depending on entitlement for Medicare and transplant-related criteria
- Covers diabetic supplies (test strips, lancets) and nebulized medications
- Covers clinic injections
|
| Medicare Discount Card |
- Medicare beneficiaries |
- No income requirements
- If income is: =$12,569 for 1-person house- hold, or = $16,862 for married couples, individuals may qualify for a $600 credit.
|
- 10% to 25% savings
- Patients who receive a $600 credit will qualify for the 10-25% discount after the $600 credit is exhausted. These patients will not be charged enrollment fees.
|
4 Weeks |
- Not an insurance card
- One card per year
- Enrollment fees per card $0-$30
- Participating pharmacies only
|
| Medicare Part D (Medicare Drug Benefit beginning in 2006) |
- Medicare beneficiaries |
- No income requirements
- Individuals may qualify for low income subsidy if income is below: about $14,000/individual; $19,000/couple and Assets Below: $10,000 per individual/$20,000 per couple.
|
- Monthly??Part D premium estimated at $37 per month and $250 deductible in 2006 but will vary across plans |
- To be determined |
- Begins January 1st, 2006 |
| Pharmaceutical Manufacturer Assistance (PMA) |
- Varies by company |
- Varies by company |
- $0 - $10 per Rx |
Minimum 4 weeks |
- Access information and download applications at the following websites: rxassist.org needymeds.com |
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