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Infographic - Who Is Eligible & How to Enroll in Prescription Advantage - Information Contained Within Blog Post BodyMassachusetts residents who are 65 or older or have disabilities can get supplemental assistance through Prescription Advantage to help pay for prescription medication.

Prescription Advantage is a prescription drug assistance program run by the Executive Office of Elder Affairs (EOEA).

How Can Prescription Advantage Help?

Prescription Advantage provides prescription drug coverage for eligible Massachusetts residents, including assistance with co-payments based on yearly household income, as well as an annual out-of-pocket spending limit. And for members with a Medicare Prescription Drug plan, Prescription Advantage can help fill the coverage gap commonly referred to as the “donut hole.” The rate sheet outlines the categories and coverage available to qualified applicants.

Who Is Eligible?

Massachusetts residents who are not receiving prescription drug benefits under Medicaid may qualify for Prescription Advantage if they are:

  • 65 or older, eligible for Medicare and enrolled in a Medicare prescription drug plan, and have a gross annual household income less than 500% of the Federal Poverty Level
  • 65 or older, not eligible for Medicare, and enrolled in a plan offering creditable coverage that is equal to or better than Medicare prescription drug coverage
  • Younger than 65, work no more than 40 hours per month, meet MassHealth’s CommonHealth disability guidelines, and have a gross annual household income at or below 188% of the Federal Poverty Level

How Do I Enroll?

Eligible residents of Massachusetts can enroll:

Prescription Advantage applications are also available at your local Council on Aging (COA) or Serving the Health Insurance Needs of Everyone (SHINE) office.

Paying for prescription drugs can be a financial strain. Take the time to explore your options and learn whether you or someone you know qualifies for assistance through Prescription Advantage.

Have questions or comments? Share below or tweet us @MassGov.

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