Disability Rx is funded with a portion of the 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 Senior Rx Program will increase 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 must be eligible for Medicare and enroll in Medicare Prescription Drug Plan (part D) 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 Disability 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 forms for proof of income include 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.