Page Reviewed / Updated - May 20, 2019
SeniorCare Rx is a state-run pharmaceutical assistance program for elderly Wisconsin residents. There are four levels to this program with varying benefits and eligibility requirements for each level. To participate, seniors must pay a small annual fee. SeniorCare provides assistance with prescription drug costs by offering medications for very low co-payment amounts for seniors. Unlike most state pharmaceutical assistance programs, there is no requirement that program participants be enrolled in a Medicare Part D plan.
To be eligible for this program, seniors must meet the following criteria:
Individual Income Limit
Couple Income Limit
|Level 1 (<160% FPL)||Up to $19,984||Up to $27,056|
|Level 2a (160% - 200% FPL)||$19,985 - $24,980||$27,057 - $33,820|
|Level 2b (200% - 240% FPL)||$24,981 - $29,976||$33,821 - $40,584|
|Level 3 (>240% FPL)||Above $29,977||Above $40,585|
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. Some levels have an annual deductible. Once participants have reached their deductible amount in out-of-pocket drug costs in a calendar year, they benefit from the following table of drug co-pays:
Medication therapy management is also available via SeniorCare Rx. Via this benefit, a pharmacist is available to answer questions about the medications one is prescribed.
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.