Prescription Advantage

Prescription Advantage is a state sponsored program that provides prescription assistance for Massachusetts residents aged 65+.  For those with Medicare or other prescription insurance, Prescription Advantage offers non-financial benefits, like a Special Enrollment Period.  For those not eligible for Medicare, Prescription Advantage provides a cost-reimbursement program to help cover the cost of their prescriptions. 

Prescription Advantage is available to Massachusetts residents who are:

• Age 65 or older, eligible for Medicare, and have a gross annual household income less than 500% of the Federal Poverty Level, or
• 65 years of age or older and not eligible for Medicare, or
• Under age 65, work no more than 40 hours per month, meet MassHealth's CommonHealth disability guidelines, and have a gross annual household income at or below 188% of the Federal Poverty Level.
• Not MassHealth or CommonHealth members*

*In some cases, individuals receiving assistance from MassHealth to pay for Medicare Part A and/or Part B premiums, deductibles, and co-payments may still be eligible for Prescription Advantage.

• Prescription Advantage Rate Schedule Guide for Members Eligible for Medicare 
• Prescription Advantage Rate Schedule Guide for Non-Medicare Members 
• Tabla de trifas de Prescription Advantage para miembros elegibles para Medicare u otra cobertura de medicamentos (Spanish version of Prescription Advantage Rate Schedule Guide for Members Eligible for Medicare) 
• Tabla de Trifa de Prescription Advantage para miembros que no son elegibles para Medicare u otra cobertura de medicamento (Spanish version of Prescription Advantage Rate Schedule Guide for Non-Medicare Members) 
• Non-Medicare Paper Claim Reimbursement Form
• Helpful Resources 
• Self-Attestation Income Changes – Existing Member 
• Representative Authorization Form