Wisconsin SeniorCare Pharmaceutical Assistance Program
SeniorCare is a state pharmaceutical assistance program for elderly Wisconsin residents. There are 4 levels to the program with varying benefits and eligibility requirements for each level. The program requires a small annual fee and provides assistance with the prescription costs by offering medications at very low co-payment amounts. Unlike many state pharmaceutical assistance programs, there is no requirement that program participants be enrolled in a Medicare Part D plan.
Eligibility Guidelines for 2013
To be eligible for this program, seniors must meet the following criteria:
- Be a Wisconsin resident.
- Be 65 years of age or older
- Cannot be on Medicaid
- Have income within the limits in the table below
||Individual Income Limit
||Couple Income Limit
||Up to $18,384
||$18,385 — $22,980
||$24,817 — $31,020
||$22,981 — $27,576
||$31,021 — $37,224
Benefits and Costs
To participate in Wisconsin's SeniorCare Rx program there is a flat annual fee of $30 per individual. The same fee amount applies regardless of the level of assistance for which the applicant qualifies.
- Level 1 - No deductible. $5 co-pay for generic drugs and $15 co-pay for brand name drugs.
- Level 2a - $500 deductible. $5 co-pay for generic drugs and $15 co-pay for brand name drugs.
- Level 2b - $850 deductible. $5 co-pay for generic drugs and $15 co-pay for brand name drugs.
- Level 3 – No prescription assistance until participant has spent down their income level to the Level 2b limit. At that point, Level 2b benefits apply.
Contact Information / How to Apply
An application form is available in several languages and can be downloaded on this webpage
. One can also apply in person at their local Area Agency on Aging or over the phone by calling the toll free number at (800) 657-2038.
More information is available on the SeniorCare Rx Website
Page Reviewed / Updated - Feb. 2013