The Joshua David Insurance Agency
856-430-7345 (Call or Text)
PAAD Application and Instructions
Link for application:
https://www.state.nj.us/humanservices/doas/forms/NJSaveApp.pdf
Instructions for completing application
PAAD (Income limits $38,769 single/$45,270 married) - program lowers generic drugs to a maximum copay of $5 and name brand drugs $7, also pays Part D late enrollment penalty and costs associated with coverage gap (donut hole):
Documents required: tax return if filed, proof of residence
Check the corresponding box for PAAD, fill application out pages 1 through 4, page 10, and page 13, do not fill out pages 5 through 9 unless you are applying for the Medicare Savings Program.
Fill out Part D enrollment assistance form, if you’re enrolled in a medicare advantage plan check box number 3. You are not required to fill in the portion of the form that asks for your list of medications.
Medicare Savings Program (MSP)(Income limits $17,388 single/$23,570 married) - program pays for Part B monthly premium currently $148.50
Documents required: tax return if filed, proof of residence, income documentation, and asset documentation for all liquid assets.
Follow instructions for PAAD, then continue to page 5 through 9
Lifeline Utility Benefits (Income limits are the same as PAAD) - program to lower utility bill via credits on your monthly statement, credit amounts vary based on income.
Documents Required: copy of most recent utility bills
Follow instructions for PAAD, then continue to pages 11 and 12