NCRx
You are eligible for NCRx if you meet all of the following
criteria:
• North Carolina Resident
• Medicare Beneficiary
• Age 65 or older
• Income at or below $18,200 for individuals and
$24,500 for married couples
• Combined savings, investments and real estate
(other than your home, car, and $1500 per person to
cover burial expenses) of $20,881 or less for individuals
and $31,322 for married couples
• Enrolled or will enroll in a Medicare Prescription
Drug Plan that participates with NCRx
• No other form of drug coverage that is as good
or better than Medicare Part D
• Not eligible for the full federal “Extra
Help” subsidy for Medicare Part D
Applying for NCRx?
You can print out an
NCRx enrollment application from this website. Once you have printed it out, complete it and send it to NCRx, P.O. 10068, Raleigh, NC 27690-2724.
You may request an application by calling 888-488-NCRX
(6279). You may also request that an application be
mailed to you by going to
www.ncrx.gov/enrollForm.asp
and entering your name and mailing address.
Once your application to NCRx has been approved and
you are enrolled in a participating Medicare prescription
drug plan, NCRx will pay up to $29 of your monthly premium.
For example, if the Medicare prescription drug plan
you choose costs $30 per month, NCRx will pay $29 per
month. You will pay the remaining $1 per month. If the
plan you choose costs less than $29, NCRx will pay the
full monthly premium.
Any Medicare prescription drug plan that will accept
payment from NCRx can participate. The names of participating
plans are available by calling NCRx at 888-488-NCRX
(6279) or by clicking on this link:
If you are already enrolled in Medicare Part D, and you meet the NCRx eligibility requirements, you can still apply for NCRx. If your Medicare Prescription Drug Plan participates in NCRx, then NCRx will subsidize up to $29 of your premium.
The names of participating plans are attached along with their Plan ID and contact telephone numbers.
If you are not enrolled in a Medicare prescription drug
plan, and you meet the NCRx eligibility requirements,
you should apply for NCRx. If your application is approved,
you must then enroll in a Medicare prescription drug
plan.
If your income is less than $15,600 for an individual
or $21,000 for married couples, and your combined savings,
investments and real estate (not including your home,
car, or a $1500 burial allowance) are less than $11,990
for an individual or $23,970 for a married couple, you
may be eligible for greater federal assistance -- enough
to cover all of your drug costs except for small co-payments.
To apply for this federal benefit, you must complete
and submit an “Extra Help” application,
available at www.medicare.gov, your local senior service
center or any Social Security office. You may also get
a federal Extra Help application from NCRx by calling
888-488-NCRX (6279). If your income and resources meet
the Extra Help guidelines above, you should apply for
Extra Help right away. If you are eligible for federal
Extra Help, in most cases you cannot also receive premium
assistance from NCRx. If you have additional questions
about NCRx, the Medicare prescription drug plan coverage
or federal Extra Help, call NCRx at 888-488-NCRX (6279)
or check the following resources:
North Carolina Seniors' Health Insurance Information
Program (SHIIP)
• 800-443-9354
www.ncshiip.com
Medicare
• 800-633-4227
www.medicare.gov
That's it! You have taken a big step to make sure your health is on the right track!