If you have found that your older or disabled loved one is experiencing financial complication in obtaining their prescriptions and the individual resides within the State of New Jersey, you will be pleased to know that there is a specially-designed program that offers assistance.
This program is the Pharmaceutical Assistance to the Aged & Disabled Program – often referred to as “PAAD”, for short. It is a state-funded allocation designed to help eligible seniors and those that suffer from various types of disabilities save on the costs associated with needed prescriptions.
What Are the Eligibility Requirements for the Program?
In order for your loved one to qualify for the PAAD, they must meet the following requirements:
- First, the individual must be considered a resident of the State of New Jersey.
- Next, they must be 65 or older or anywhere between 18 and 64 and be a recipient of the Title II Disability benefit program from the Social Security Administration.
- The income for the year must be less than a total of $38,769 if the individual is single or no more than $45,269 if the individual is married.
- If the individual is a Medicare recipient, they must enroll into the Part D Prescription Drug Plan.
- They will be required to pay a copayment of $5 on each generic drug that is covered and/or a copayment of $7 for a brand name prescription drug. If a drug is not covered, the primary care physician will be required to do an exception for medical necessity to the Part D plan or they may switch to a medication/prescription that is on the formulary of the Part D plan.
Additional Information
The following outlines additional information that you need to know about PAAD:
- The coverage includes insulin, supplies for insulin, legend drugs, and injectables and associated supplies for multiple sclerosis patients.
- The program does not cover testing supplies for those that suffer from diabetes.
- PAAD only covers prescriptions that are approved by the FDA.
- No medications outside the state are covered.
- If the individual receives Medicaid or is part of a better prescription drug program, they will not qualify for PAAD.
- If a name brand drug is required, a physician must request Prior Authorization. PAAD only covers generic versions of prescription drugs that have the same ingredients and serve the same purposes as brand name medications.
- The initial medications received are offered in 34-day supplies for 100-unit doses in an effort to prevent waste and save on costs.
Contact Us Today
If you are attempting to seek help for an older or disabled loved one, contact us here at Beason Senior Advisors today. We specialize in elder care and have access to various tools and resources that will assist you.
Additionally, we are able to provide information on day care services, assisted living, memory care, and other types of elder care communities. Simply call the following number now: 973-713-0096