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Massachusetts Prescription Advantage Program (SPAP)

 
Massachusetts Prescription Advantage Program Description
Prescription Advantage is the Massachusetts state pharmaceutical assistance program (SPAP).  The program provides financial assistance to both Medicare and non-Medicare qualified individuals to help them pay for the cost of their prescription medications.  Individuals who are eligible for Medicare, must enroll or be enrolled in a Medicare Part D plan.

This is known as a Medicare wraparound program which means the benefits wrap around those benefits provided by a Medicare Part D plan.  When making a prescription purchase, Medicare Part D is the first payer and then this program contributes towards those costs the Part D plan does not cover.

There are 5 levels to this program and depending on one’s income, the benefits amounts change.  There is no maximum income limit or asset test for individuals without Medicare therefore anyone who requires assistance should qualify at some level. 
Prescription Advantage Program Eligibility
To be eligible for this program, seniors must meet the following criteria:
  • Massachusetts resident
  • Age 65 and older
  • Income Limit - for individuals with Medicare is $54,150 and for couples $72,850.  For those without Medicare, there is no income limit.


Prescription Advantage Program Benefits
Each level of the program has different co-pay requirements and out-of-pocket spending limits. For the latest information, see the program fact sheet. 

Prescription Advantage Program Costs
There are no fees associated with joining this program.

Prescription Advantage Contact Information
Visit the Prescription Advantage website or call their toll free number at (800) 243-4636.



The state of Illinois has two programs designed to provide financial assistance to the elderly to help them purchase their prescription drugs.  Rx Basic is for individuals without Medicare insurance and the Rx Plus is designed for those on Medicare.

Rx Plus is known as a Medicare wraparound program which means the benefits wrap around those benefits provided by a Medicare Part D plan.  When making a prescription purchase, Medicare Part D is the first payer and then this program contributes towards those costs the Part D plan does not cover.
 
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