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.  Program benefits are coordinated directly with the Medicare Part D Plans that serve as the first prescription drug resource for enrolled members.

2019 Program Benefits:

  • Assistance with prescription costs when in the Medicare Part D Gap/Donut Hole.
  • Assistance of up to $27.08 towards monthly premiums with participating Medicare Part D Prescription Drug Plan (if not qualified for maximum extra help from Medicare with that expense)
  • Plan selection options for members that benefit their individual health needs

Program Changes Effective January 1, 2020

  • The Senior Rx Program will become a Medicare Part D Premium Subsidy Only Program.
  • Becoming a Part D Premium Subsidy Only Program means that the SRx Program will increase our members’ monthly Part D Premium subsidy amount up to $37.00 per month (depending on the member’s Part D plan)
  • The program will no longer cover the cost of medication while the member is in the Medicare Part D Gap/Donut Hole. With an up to $37.00 monthly subsidy, SRx members will be encouraged to evaluate and select the Part D Plan, or Medicare Advantage Plan with a Part D coverage, that best meets their individual health needs and may reduce their out of pocket costs.

Qualifications:

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, 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. This is important because the Extra Help may cover more of the beneficiary’s out-of-pocket costs than the Senior Rx Program. 

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, 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. This is important because the Extra Help may cover more of the beneficiary’s out-of-pocket costs than the Senior Rx Program. 

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. Proof of income is required when submitting a new application. Acceptable documents for proof of income are a copy of your 2018 tax return or 12-months of your most recent bank statements (deposit page only).

Residency: Applicants must have lived continuously in Nevada for at least 12 consecutive months (one year) prior to the date of application.

 

If you meet certain income and resource limits, you may qualify for Extra Help from Medicare to pay the costs of Medicare prescription drug coverage. As of December 2019, you may qualify if you have up to $18,735 in yearly income ($25,365 for a married couple) and up to $14,610 in resources ($29,160 for a married couple). This may change in 2020.