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CENTERS FOR MEDICARE&MEDICAID SERVICES Quick Facts about Medicare's New Coverage for Prescription Drugs for people who get help from their state pharmacy program to pay for their prescriptions. StartingJanuary1,2006,Medicarewillofferprescriptiondrugplanstohelpyoupay fortheprescriptionsyouneed.Ifyoudon'tjoinaMedicareprescriptiondrugplanby May15,2006,youwillpayahigherpremium. Whatdo need to know? I • EachstatewilldecidehowitsStatePharmacyAssistanceProgramwillworkwith Medicareprescriptiondrugcoverage.Somestatesmaychoosetogiveextracoverage whenyoujoinaMedicareprescriptiondrugplan.Somestatesmayhaveaseparatestate programthathelpswithprescriptions. • YoushouldcontactyourStatePharmacyAssistanceProgramtogetmoreinformation. ThetableattheendofthisfactsheetliststhephonenumbersforeachStatePharmacy 7\ssistanceProgram. • Manypeoplewithlimitedincomeandresourceswillgetextrahelppayingfortheir prescriptiondrugcoverage.Ifyouhavelimitedincomeandin2006yourresourcesare lessthan$11,500(single)or$23,000(married),youmayqualifyforthisextrahelp. Peoplewiththelowestincomesandresourceswillgetthemosthelp. • SomepeoplewillautomaticallyqualifyandMedicarewillsendthemalettertoletthem know.Somepeoplewhomayqualifywillreceivealetterandanapplicationformfrom theSocialSecurityAdministration(SSA).Ifyougetanapplicationinthemailfillitout andmailitinthepostagepaidenvelopeincluded.Ifyoudon'tgetanapplicationinthe mailfromSSAbutthinkyouqualifyforextrahelpcontactSSAat1-800-772-1213or visitwww.socialsecurity.govontheweb. How can get more information? I CallyourStatePharmacyAssistanceProgramatthenumberprovidedattheendofthis factsheet.DetailedinformationwillbeavailableinOctober2005.Youcanlookatthe "Medicare&You2006"handbook,visitwww.medicare.govontheweb,orcall 1-800-MEDICARE(1-800-633-4227).TTYusersshouldcall1-877-486-2048. Formoreinformationonwhocangetextrahelpwithprescriptiondrugcostsand howtoapply,callSSAat1-800-772-1213orvisitwww.socialsecurity.govontheweb. ensLiBRdRy Howcan get more information? (continued) I CallyourStatePharmacyAssistanceProgramatthephonenumberonthetable. State NameofProgram PhoneNumber Connecticut ConnPace 800-423-5026 800-994-9422 Delaware DelawarePrescriptionAssistanceProgram(DPAP) 800-996-9969xl7 Illinois IllinoisSeniorCareorCircuitBreakerand 800-226-0768 PharmaceuticalAssistancePrograms 800-624-2459 Indiana HoosierRx 866-267-4679 Kansas KansasSeniorPharmacyAssistanceProgram 785-296-4986 800-432-3535 Maryland MarylandPharmacyAssistanceProgramorSenior 800-226-2142 ShortTermPrescriptionDrugPlan 800-972-4612 Massachusetts PrescriptionAdvantage 800-243-4636 Maine MaineRxPlusorMaineLowCostDrugsforthe 866-796-2463 ElderlyandDisabledProgram 800-262-2232 Michigan Michigan'sElderPrescriptionInsuranceCoverage 866-747-5844 Minnesota Minnesota'sPrescriptionDrugProgram 800-333-2433 Missouri MissouriSeniorRxProgram 800-375-1406 NorthCarolina NorthCarolinaSeniorCare 866-226-1388 NewJersey PharmaceuticalAssistancetotheAged&Disabled 800-792-9745 orSeniorGoldPrescriptionDiscount Nevada SeniorRx 866-303-6323 NewYork ElderlyPharmaceuticalInsuranceCoverage 800-332-3742 (EPIC)Program Pennsylvania PACE-PharmaceuticalAssistanceContractforthe 800-225-7223 ElderlyorPACENET RhodeIsland R.I.PharmaceuticalAssistanceProgramtothe 401-462-3000 Elderly(RIPAE) Texas KidneyHealthCareProgram 800-222-3986 Vermont VHAP(VermontHealthAccessPlan)Pharmacy 800-250-8427 BenefitorVSCRIPT Wisconsin SeniorCare 800-657-2038 Wyoming PrescriptionDrugAssistanceProgram 800-438-5785 Note:Statesthataren'tlisteddon'thaveoneoftheseprograms. Cil5Li'jrap. I i CMSPub.No.11108 May2005 I