Page Reviewed / Updated – July 24, 2020

Program Description

Montana’s Big Sky Rx Program, or BSRx for short, is a state pharmaceutical assistance program that helps seniors by providing financial assistance to cover the costs of their Medicare Part D premiums.  Depending on the individual and the Medicare Part D plan in which they are enrolled, the financial assistance could pay as much as the entire monthly premium.  This program is managed by the  MT Department of Public Health and Human Services and is funded by a tax on tobacco products.

Eligibility Guidelines

To be eligible for this program, seniors must meet the requirements that follow.  Note that one’s assets, although requested on the application, are not considered an eligibility factor.

  • Be a Montana resident
  • Be enrolled in or willing to enroll in a Medicare Part D plan
  • Cannot concurrently be enrolled in and receiving Medicaid benefits or have received Medicaid benefits for 12 months preceding their date of application.
  • In 2020, single, non-married or widowed applicants are permitted to have annual income up to $25,520. This works out to a monthly income of $2,126. Married couples (or two-person households) are allowed an annual income up to $34,480, equal to $2,873 / month. Assets are not considered. Make note, individuals with an annual income under $19,140, and couples with yearly income under $25,860, can apply for Extra Help from Social Security. There is also an asset limit for Social Security Extra Help. As of 2020, a single individual can have up to $14,610 and a married couple can have as much as $29,160 in assets. Learn more here.

Benefits and Services

Big Sky Rx does not have application fees or enrollment charges. There are no costs associated with participation in this program. As a benefit, in 2020, the Big Sky Rx provides cash payments up to $35.40 each month to be put towards the cost of Medicare Part D premiums.

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How to Apply / Learn More

This program is open to residents statewide and there are no specific enrollment periods throughout the year.   To learn more, visit the Big Sky Rx website or call their toll free number at 866-369-1233.

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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