Pharmaceutical Assistance to the Aged & Disabled (PAAD)
The Pharmaceutical Assistance to the Aged and Disabled (PAAD) program, the Lifeline program, and the Hearing Aid Assistance to the Aged and Disabled (HAAAD) program are three State programs with similar eligibility guidelines.
You may be eligible for PAAD if you meet the following requirements:
- A New Jersey resident;
- 65 years of age or older or 18 years of age or older and receiving Social Security Title II Disability benefits; and
- Annual income for 2016 of less than $26,575 if single or less than $32,582 if married; and
- Medicare-eligible PAAD beneficiaries are also required to enroll in a Medicare Part D Prescription Drug Plan in New Jersey. PAAD will pay the monthly premium for certain standard basic Part D plans with a monthly premium at or below the regional benchmark or standard basic plans or enhanced plans up to $20 above the benchmark amount that has no deductible. These plans will cover medically necessary prescription medications under Medicare Part D. The federal Medicare Plan and/or PAAD will pay any costs above the PAAD copayment of $5 for each covered generic drug or $7 for each covered brand name drug, including premiums. However, if a Medicare Part D plan does not pay for a medication because the drug is not on its formulary, PAAD beneficiaries will have to switch to drug on their Part D plan's formulary, or their doctor will have to request an exception due to medical necessity directly to their Part D plan. Medicare Advantage participants must add a prescription benefit to their coverage, and PAAD will contribute up to the regional benchmark amount towards the prescription portion of their total premium. To find out which basic Part D plans in New Jersey for which PAAD pays the monthly premium, please call 1-800-792-9745.
For more information, click here or call toll free 1-800-792-9745.
To find out more about
PAAD, Senior Gold and their interaction with
the new Medicare prescription drug benefit program