Page Reviewed / Updated - Mar. 2019
The Senior Rx Program is Nevada’s state pharmaceutical assistance program designed for elderly and disabled individuals. This program provides financial assistance for prescription drugs for Medicare eligible Nevada residents. Individuals must enroll in a Medicare Part D plan (Medicare's prescription drug plan), which will enable them to receive assistance for the monthly premiums and for medication co-payments.
This program is managed by the Nevada Department of Health and Human Services and is funded by the proceeds from the tobacco settlements with the state. It is intended as a financial supplement to Medicare Part D. This program is the secondary payer after the participant's Medicare plan.
To be eligible for the Senior/Disability RX program, applicants must meet the following criteria:
Residency – Candidates must be legal Nevada residents. Unlike many assistance programs, SeniorRX has a duration of residency requirement. Newcomers to the state must wait one year to gain eligibility.
Age – Elderly, non-disabled applicants must be a minimum of 65 years of age. Disabled persons 18 and older are eligible for this program, given they are eligible for Medicare.
Income – For widowed, divorced or otherwise single applicants, the annual income limit is set at $29,312, which is equal to $2,442.66 per month. For married couples or two-person households, the annual income limit is $39,073, equal to $3,256.08 per month. Even if a spouse is not applying for the program, their income must be included on the application. Readers should be aware the income limits change annually, but not at the start of the year. Instead revisions occur in July. This page was last updated Mar. 2019.
Medicare Eligible – Persons must be eligible for Medicare and be enrolled in a Medicare Part D plan. Applicants on Medicare Advantage, also called Medicare Part C, must apply for Extra Help with the costs of Medicare Part D.
Medicaid Ineligible – Applicants cannot concurrently be eligible and receive full assistance from Medicaid. However, one can be enrolled in Medicaid's Qualified Medicare Beneficiary Program.
This program provides financial assistance for Medicare Part D premiums. As of 2019, as much as $27.08 / month ($324.96 / year) can be paid towards Part D premiums. This program also pays co-payments for program participants who are in gap coverage for the “donut” hole. In 2019, the coverage gap starts once the program participant and his or her Part D plan pay a total of $3,820 towards prescription medications. There is no charge to participate in this program.
Interested state residents can visit the Nevada Senior Rx website or call their toll-free number at (866) 303-6323 to learn more. To apply, one can download an application or visit their local Aging & Disability Services Division. Proof of income, a copy of one's Medicare card, and copy of one's Part D plan or Medicate Advantage card must be supplied during the application process.
There is no wait list for this program. Eligibility is generally determined within 30-45 days from the date the application is received. It may take an additional 30-90 days to begin receiving benefits.