New Jersey Senior Gold Prescription and PAAD Programs

Page Reviewed / Updated - May 2014

Program Description

The state of New Jersey offers two pharmaceutical assistance programs designed to help seniors with the cost of their prescription drugs.  One’s income level determines if they are eligible for the Senior Gold program or the PAAD program.

The Senior Gold Prescription Discount Program, or Senior Gold for short, is a state pharmaceutical assistance program that helps low to middle income NJ seniors with their prescription drugs by paying up to 50% of their out-of-pocket costs.

The New Jersey Pharmaceutical Assistance to the Aged and Disabled Program, or PAAD for short is designed more for lower income seniors than the Senior Gold program. In addition to helping the elderly with the cost of their medications, PAAD provides assistances with co-payments and monthly premiums for Medicare Part D.

Both programs are designed to work collaboratively with a Medicare Part D plan and therefore enrollment in a Part D plan is a requirement. Part D serves as the primary payer and Senior Gold or PAAD as the secondary payer.

 Did You Know?  1 in 5 US seniors have skipped their medications or not filled prescriptions because of the cost of doing so.

 

Eligibility Guidelines

Senior Gold Program Eligibility
To be eligible for this program, seniors must meet the following criteria:

  • Be a New Jersey resident
  • Be 65+ years old
  • Be enrolled in Medicare Part D plan
  • Have annual income in 2014 of less between $26,130 and $36,130 if single or $31,563 to $41,563 if married.  Persons below that range are eligible for the PAAD program.


PAAD Program Eligibility
To be eligible for this program, seniors must meet the following criteria:

  • Be a New Jersey resident
  • Be 65+ years old
  • Cannot be on Medicaid
  • Be enrolled in Medicare Part D plan
  • Have annual income in 2014 of less than 26,130 if single or less than $31,563 if married.

 

Benefits and Services

Senior Gold
Senior Gold participants receive prescription assistance up to 50% of their out-of-pocket cost minus the $15 co-pay. If a participant’s annual prescription costs exceed $2,000 then Senior Gold will 100% of their cost over that amount. There are no costs to participate.

PAAD
This program pays premiums, deductibles and assists individuals in the Medicare coverage gap. Co-payments $5 for generic drugs and $7 for brand name drugs.   There are no costs to participate.

 

How to Apply / Learn More

Visit the Senior Gold webpage or PAAD webpage or call their toll free number at (800) 792-9745. Alternatively, one can visit their local NJ Area Agency on Aging to learn more.

 New Jersey seniors might eligible for these programs might also be eligible for adult day care, respite care or in-home support.

 

 

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.