Prescription Advantage is the state-sponsored prescription drug assistance program for seniors and people with disabilities in Massachusetts.

Who is eligible for Prescription Advantage?

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.

How Does Prescription Advantage Work with a Medicare Part D or Creditable Coverage Plan?

Prescription Advantage supplements prescription drug benefits by helping to pay for medications covered by Medicare Part D or creditable coverage plans**. Membership category determines when Prescription Advantage benefits begin. At that time, members pay no more than Prescription Advantage co-payment amounts.

**Creditable coverage is coverage as good or better than drug coverage offered by Medicare and is usually provided by an employer or union.

Not Eligible for Medicare?

Prescription Advantage may be able to provide primary coverage to Massachusetts residents who are not eligible for Medicare.

For more information, call customer service at 1-800-243-4636, or go to: www.mass.gov/elders/healthcare/prescription-advantage

For application assistance, call customer service at 1-800-243-4636, Monday – Friday, 9:00 am – 5:00 pm EST.

Prescription Advantage Online Application Version 2.8.8367.29340