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Delaware has eliminated the Sr. Prescription Assistance Program. Learn more

The State of Delaware has eliminated the Senior Prescription Assistance Program due to cuts in the budget approved this past July. The State sent a letter to each senior who had been receiving assistance through the program, telling them the program was ending. The letter also explained that seniors who were losing the state benefit had the option to switch to a Part D prescription plan with a lower premium.

Many people who lost this state benefit are also eligible for federal Low Income Subsidy (LIS) benefits, which can help cover the costs of Medicare Part D premiums. If you think you may be eligible for Low-Income Subsidy assistance with your Part D Premiums, go to this website for more information or to apply.

For more information, please read through the Frequently Asked Questions below, provided by Delaware Division of Medicare and Medicaid Services.

DPAP Closure FAQ’s

  • When is DPAP ending?  

DPAP ended

Senior Couple - Medical Bills
Lisa F. Young

8/31/17.

  • Why is DPAP ending?  

The Governor and Legislature eliminated the program in the 2018 budget.

  • I cannot afford my Medicare Part D premiums.   

You can change your Part D plan to a lower premium one by calling Medicare 1-800-633-4227.  Tell them you are currently enrolled in a Qualified State Pharmaceutical Assistance Program (SPAP).

  • Why can I change my Medicare Part D plan outside of the November Annual Enrollment Period (AEP)?
    • You belong to a Pharmacy Assistance Program provided by your state.
    • You are losing or lost your participation in a Pharmacy Assistance Program provided by your state.
    • If you are a QMB/SLIMB you may change once a month outside of the AEP.
  • When will my last Medicare Part D premium be paid by DPAP? DPAP will pay the August premium. You will be responsible for the premium payment effective September 1, 2017 and ongoing.

NOTE: If you are currently assessed a Late Enrollment Penalty you will be responsible for this amount as well.

  • How will I pay for medications when in the donut hole or coverage gap? Contact your doctor/pharmacy for alternative solutions.
  • Do I have to pay the deductible for this year? If you have had drug claims already for the year, the DPAP has been paying your share. Check with your Part D plan and ask for your current status.  The question would be have I met my deductible for the year.
  • How do I know if my medications are covered by the plan? You can review the plans drugs by using the link at Medicare.gov

https://www.medicare.gov/find-a-plan/questions/home.aspx

Members may contact their Prescription Drug Plan (PDP) directly by calling the phone number on the back of their PDP card or at one of the numbers below.

Medicare Part D Plans

 















































Medicare Part D Plan Contact Number(s)
Cigna HealthSpring 1-800-222-6700
EnvisionRx Plus 1-866-250-2005 or TTY 1-866-763-9630
Express Scripts Medicare 1-800-758-4574 or TTY 1-800-716-3231
First Health Part D 1-844-233-1938 or TTY 711
Humana 1-800-281-6918
Magellan Rx Medicare 1-800-424-3312
SilverScript 1-866-235-5660 or TTY 1-866-236-1069
UnitedHealthcare-AARP Medicare Rx Walgreens 1-866-870-3470 or TTY 711
UnitedHealthcare-AARP Medicare Rx 1-888-867-5575 or TTY 1-877-730-4192
WellCare 1-888-550-5252 or TTY 1-888-816-5252

 

 






























































































































   2017 Plan and Premium Information for Medicare Plans offering Part D coverage under $50.00
Organization Name Plan Name Contract ID Plan ID Part D Total Premium5 Part D Drug Deductible
Aetna Medicare Aetna Medicare Rx Saver (PDP) S5810 039 $33.20 $360.00
Cigna-HealthSpring Rx Cigna-HealthSpring Rx Secure (PDP) S5617 214 $28.40 $400.00
Cigna-HealthSpring Rx Cigna-HealthSpring Rx Secure-Extra (PDP) S5617 250 $34.80 $50.00
EnvisionRx Plus EnvisionRxPlus (PDP) S7694 005 $14.60 $270.00
Express Scripts Medicare Express Scripts Medicare - Value (PDP) S5660 107 $30.40 $400.00
First Health Part D First Health Part D Value Plus (PDP) S5768 128 $39.10 $0.00
Humana Insurance Company Humana Preferred Rx Plan (PDP) S5884 103 $29.30 $400.00
Humana Insurance Company Humana Walmart Rx Plan (PDP) S5884 151 $17.00 $400.00
Magellan Rx Medicare Magellan Rx Medicare Basic (PDP) S4607 003 $34.00 $400.00
SilverScript SilverScript Choice (PDP) S5601 010 $33.90 $0.00
UnitedHealthcare Symphonix Value Rx (PDP) S0522 006 $30.80 $400.00
UnitedHealthcare AARP MedicareRx Walgreens (PDP) S0522 051 $22.40 $400.00
UnitedHealthcare AARP MedicareRx Saver Plus (PDP) S5921 350 $33.40 $400.00
WellCare WellCare Classic (PDP) S4802 079 $28.70 $400.00

 

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