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Frequently asked questions about the
To be eligible, you must:
(* Income and resources are based on your individual income and resources, not those of your household, even if you are married.) Back to top
Why does the application ask for a home address and a "mailing address?" You must have an Oregon home address to be considered eligible.However, you may want or need to use a mailing address if you:
Important: Even if you use a mailing address, we still must have your home address. If you are homeless, write “homeless” for your home address and give the zip code for the place you mainly stay. Back to top What are the income guidelines? We use Federal Poverty Levels (FPLs) to determine eligibility. The FPLs are set by the federal government and change every year.
What are the resource guidelines? To be eligible for SPDAP coverage, you must have less than $2,000 in "liquid resources" such as cash, checking and savings accounts, stocks and bonds. Your primary residence and car do not count as resources.Oregon has other health insurance programs that may be available to you. See the Other Health Resources. Back to top If you qualify for the program, we will send you a bill for $50. Once we receive your $50, your coverage will begin the first of the following month. Once you are found eligible, you will be eligible for 12 months, unless you move out of Oregon or acquire other drug benefit coverage. We will send you a membership card that shows the dates your coverage begins and ends. Back to top How much will my prescription drugs cost? SPDAP members will purchase prescription drugs at Medicaid’s reduced rate. The amount members pay will vary from drug to drug. For example, if a prescription normally costs $60, but Medicaid’s rate is $40, the member would be able to purchase the prescription for $40.Pharmacies have access to Medicaid’s rates and will charge members accordingly. Back to top What prescription drugs are covered? “Prescription drugs” means drugs that must legally be prescribed by a person authorized to prescribe drugs, such as your family doctor. It does not include prescribed over-the-counter drugs. Medical supplies and medical equipment are not covered.Back to top If you want to use a local pharmacy, see this list of participating pharmacies to find out which pharmacy in your area participates in the Senior Prescription Drug Assistance Program. Mail order service may offer you additional savings on your prescriptions over the Medicaid discounts available through this program. For mail order services, call Wellpartner Pharmacy. Call toll-free Monday through Friday, 8 a.m. to 5 p.m. (PST), (1-877) 935-5797. Have your SPDAP Member I.D. and your prescription number available when you place your order. You can also order on the Internet: See our mail-order pharmacy page, or www.wellpartner.com. For more in Back to top How can I contact the Senior Prescription Drug Assistance Program? By phone
Are there other health resources I might be eligible for? Yes. Go to the OHP Application & benefits page, and follow the "other resources" links to information about Medicare, Oregon Health Plan, CAWEM, Oregon Medical Insurance Pool, veterans' benefits, Insurance Pool Governing Board and Family Health Insurance Assistance Program (FHIAP).Back to top |
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