Do I Qualify?

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  • Madison County resident
  • 55 and older or a disabled individual of any age, must provide awards letter from Social Security, or declared disabled by a doctor, with letter.
  • Total household income at or below 200% of the poverty level for 2017:
    1 person - $24,120/yr
    2 people - $32,480/yr
    3 people - $40,840/yr
  • No prescription insurance coverage (with Part D assistance may be available in the coverage gap)
  • Need medications for chronic medical conditions
  • Pharmacy printout or copy of Explanation of Benefits that confirms coverage gap