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Wisconsin SeniorCare Pharmaceutical Assistance Program

 
SeniorCare Rx Program Description
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.

SeniorCare Rx Program Eligibility
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

 Level
 Individual Income Limit Couple Income Limit
 Level 1
 $17,328
 $23,312
 Level 2a
 $21,660 $29,140
 Level 2b
 $25,992 $34,968
 Level 3
 Above $25,992 Above $34,968

  
       
   
 

  
   
SeniorCare Rx Program Benefits
  • 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.

SeniorCare Rx Program Costs
This program has $30 annual enrollment fee per person.

SeniorCare Rx Contact Information
Visit the SeniorCare Rx website or call their toll free number at (800) 657-2038.



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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