Important Note: Reductions to the current fiscal year budget for Prescription Advantage require that benefits be changed effective January 1, 2010. Prescription Advantage will no longer pay any part of the Medicare Part D plan premium for members in categories S1, S2 and S3. Members in these categories will be responsible for paying the premium invoices from their Medicare Part D plans to ensure that their Medicare Part D coverage continues. Co-payment assistance from Prescription Advantage is only available to members enrolled in a Medicare Part D drug plan or creditable coverage plan.

Prescription Advantage, administered by the Commonwealth of Massachusetts Executive Office of Elder Affairs, is a prescription drug insurance plan that is available to Massachusetts residents age 65 and older, as well as younger individuals with disabilities who meet income and employment guidelines.

Prescription Advantage offers two types of prescription drug coverage:

For Individuals with Medicare

Prescription Advantage provides supplemental assistance, based on income, for its members with Medicare prescription drug coverage. Medicare is the primary drug insurance for Prescription Advantage members with Medicare. Prescription Advantage is a secondary payer.

Depending on income, Prescription Advantage may help pay all or part of the Medicare prescription drug plan's drug co-payments. Prescription Advantage will also provide an out-of-pocket spending limit. Once this limit is reached, Prescription Advantage will cover drug co-payments for the remainder of the plan year.

For more information on how Prescription Advantage will work with Medicare prescription drug plans, see "How Prescription Advantage Works with Medicare's Prescription Drug Coverage (Part D)."

For Individuals With Creditable Coverage

Prescription Advantage members enrolled in creditable coverage plans, coverage that is equal to or better than Medicare prescription drug coverage, may receive assistance with plan co-payments. For members in these plans, as for Medicare prescription drug plans, Prescription Advantage is the secondary payer; the creditable coverage plan is the primary payer.

For Individuals Without Medicare

Prescription Advantage offers members, who do not qualify for Medicare, primary prescription drug coverage. This coverage has no monthly premium. Depending on income, members will pay a co-payment for prescription drugs and will have an annual out-of-pocket spending limit and quarterly deductible. Once this annual out-of-pocket limit is reached, Prescription Advantage will cover drug co-payments for the remainder of the plan year.

Please note: The legislation which funds Prescription Advantage requires the Executive Office of Elder Affairs to operate the program within its appropriation for the current fiscal year; thus, during the course of the year, the Plan may be required to impose cost containment measures.

For More Information

Call 1-800-AGE-INFO (1-800-243-4636)
TTY 1-877-610-0241
Customer Service Representatives are available to answer your questions Monday-Friday, 9 AM - 5 PM EST.