Our plan offers you
Unlimited FREE
Prescriptions
- Monthly service fee is only $82.00 giving you an instant savings!
- Access to over 1,100 name-brand prescriptions
- No limit to the number of prescriptions you take
- No age limits, health restrictions or limitation of use
- No paperwork, other than completing our application
- Great solution for Seniors with Medicare Part D
- See if you qualify
| Client Example |
| Medication |
Dosage/Quantity |
Retail |
APAP |
| Advair® |
250/50 mcg/1 disc |
$183 |
$0 |
| Lipitor® |
10 mg/30 tablets |
$83 |
$0 |
| Plavix® |
75 mg/30 tablets |
$131 |
$0 |
| Nexium® |
40 mg/30 tablets |
$146 |
$0 |
| Singulair® |
10 mg/30 tablets |
$103 |
$0 |
|
|
Do You Qualify?
Step 1: Annual Income Qualifications
Determine the income eligibility of you and/or your family:
| Persons in Family |
Income |
| 1 |
$20,420 |
| 2 |
$27,380 |
| 3 |
$34,380 |
| 4 |
$41,300 |
| 5 |
$48,260 |
| 6 |
$55,220 |
| 7 |
$62,180 |
| 8 |
$69,140 |
Step 2: Rx Coverage Status
- No Rx coverage from insurance benefit or government assistance program (e.g. Medicaid, V.A, state assistance, etc.) or
- Rx benefit has been exhausted or
- Medication is specifically not covered under the Rx formulary
Step 3: Monthly Fees
ONE-TIME Sign up Fee ………….. 25.00
Monthly Service Fee …………..…..82.00
$25 Enrollment Fee and first month’s service fee due upon enrollment ($107.00)
AmeriPlan’s® Prescription Advocacy Program was created for the primary purpose of making you, and the millions of other facing financial challenges in this country, aware of Patient Assistance Programs, and to assist eligible individuals who cannot afford their prescription medication due to limited income or other financial hardships. If you meet the eligibility criteria and are experiencing financial hardship with your prescription medication, let AmeriPlan’s® Prescription Advocacy Program powered by EXMEDS USA help you with the worry-free, ongoing management of your prescription assistance needs.
|
