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Office of AIDS

Medicare Part D Premium Payment Program

The Medicare Part D Premium Payment Program pays only Part D insurance premiums for persons living with HIV/AIDS who are enrolled in both a Medicare Part D prescription drug plan and the AIDS Drug Assistance Program (ADAP).

For information about the Medicare Part D program and links to important tools for Part D prescription plan selection call 1-800-Medicare (1-800-633-4227) or visit www.Medicare.gov.

 

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Eligibility

To be eligible for Medicare Part D Premium Assistance, you must:

  • Be a resident of California
  • Have an HIV/AIDS diagnosis
  • Be at least 18 years old
  • Be enrolled in ADAP
  • Be enrolled in a Medicare Part D Prescription Plan*
  • Not be receiving 100% assistance from Medicare’s Extra Help/Full Low Income Subsidy (LIS)
  • Not be receiving Full Scope Medi-Cal

*PLEASE NOTE: Your Medicare Part D Prescription Plan must be participating in the Medicare Part D Premium Payment Program.

 

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How to apply for the Medicare Part D Premium Payment Program

Existing ADAP clients who would like to apply for Medicare Part D premium assistance, please complete Sections 1 and 6 of the ADAP application. Please fax your application to (844) 421-8008 or submit by e-mail to CDPHMEDASSISTFAX@cdph.ca.gov.

 

If you are not enrolled in ADAP, you will need to see a certified ADAP enrollment worker to complete the ADAP application in its entirety. Please have your ADAP enrollment worker fax the application to (844) 421-8008.

 

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For more assistance with the Medicare Part D program

You may call  (844) 421-7050 or email IASPartD@cdph.ca.gov for additional assistance.

 

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Last modified on: 4/6/2017 10:17 AM