AmeriHealth® Rx
Eligibility requirements
Effective January 1, 2009
Basic Eligibility Requirements
Medicare Part D prescription drug plans are available to anyone who is eligible for Medicare in the United States, regardless of age, income, or health conditions. You must live in the service area of the plan you join. Participation is voluntary.
In order to be eligible, you must:
- Be entitled to Medicare Part A and/or enrolled in Medicare Part B.
- Continue to pay your Medicare Part B premiums (and Part A, if applicable) unless they are otherwise paid for by Medicaid or by another third-party.
- Be a resident of New Jersey.
- You may elect a plan that includes Part D prescription drug coverage.
- Beneficiaries may be enrolled in only one Part D plan at a time.
- If enrolled in an MA coordinated care (HMO or PPO) plan or an MA PFFS plan that includes Medicare prescription drugs, the enrollee may not enroll in a PDP unless they disenroll from the HMO, PPO, or MA PFFS plan.
- Enrollees in a private-fee-for-service plan (PFFS) that does not provide Medicare prescription drug coverage, or an MA Medical Savings Account (MSA) plan may enroll in a PDP.
You may be able to get extra help to pay for your prescription drug premium and costs. To see if you qualify for getting extra help, call:
- 1-800-MEDICARE (1-800-633-4227). TTY/TDD machine users should call 1-877-486-2048, 24 hours a day/7 days a week);
- The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call, 1-800-325-0778; or
- Your State Medicaid Office.
Please note: In some cases, Medical Assistance copays will apply.
Click here for additional information about Medicare Part D.
Ready to Enroll? Continue to Enroll.
