NEED HELP PAYING FOR YOUR PRESCRIPTION DRUGS?

CIRCUIT BREAKER | ILLINOIS SENIOR CARE | LINK TO SITE | PRESCRIPTION DRUG PROGRAMS | FREQUENTLY ASKED QUESTIONS | CIRCUIT BREAKER SIGN UP INFO

CIRCUIT BREAKER
is a state of Illinois program administered by the Illinois Department of Revenue.
It helps seniors and persons with disabilities pay for certain prescription medications.

If you are age 65 or older or if you have a disability, find out if you qualify for the Circuit Breaker/Pharmaceutical Assistance Program. If you do, you may enroll at any of our sign up dates available by clicking here.

You may qualify for help under this program if:

  • You are an Illinois resident who is disabled, are age 65 or older, or a wido/widower aged 63 or older. and,
  • You have a total income of less than $21,218 or less and are married or live with someone else who qualifies (siblings can file separately), $35,740 or less and you live in a household with two or more qualifying residents.

Prescriptions for the following are covered:

  • Alzheimer's diseasepills
  • Arthritis
  • Cancer
  • Diabetes (including insulin, the syringes, and needles used to administer insulin)
  • Glaucoma
  • Heart and blood pressure problems
  • Lung disease and smoking-related illnesses
  • Osteoporosis
  • Parkinson's disease

How this program works:

  • When an application is approved, the qualified applicant receives a Pharmaceutical Assistance card.
  • Cards cost: $5 for individuals below the poverty level, or $25 for those above the poverty level.
  • With the card, an applicant can obtain prescription medication for covered diseases with a: $3 co-payment for those with a $25 card, or No co-payment for those with a $5 card.
  • After cardholders reach a $2,000 annual cap, they must pay 20 percent (20%) of costs for the remainder of the fiscal year (7/1-6/30) in addition to co-payment.

Visit the Illinois Department on Aging website for more information or call our office at 815-626-7707

 

ILLINOIS SENIOR CARE
Helps low income seniors pay for prescriptions they need. Now elible seniors can get help to pay for the prescrition drugs they need...

Is SeniorCare for me?
You can enroll in SeniorCare if:

  • you are 65 years of age or older
  • you live in Illinois, and
  • you are single and your income is no more than $18,620 a year, or
  • you are married and you and your spouse have income of no more than $24,980.

    What drugs are covered?
    SeniorCare covers most prescription drugs and many over-the-counter drugs if a doctor prescribes them.

    Do I have to pay a fee to join?
    No. SeniorCare does not have an enrollment fee but you must reapply every year.

    How much will it cost me?
    SeniorCare is a free program to those who qualify.

    SeniorCare pays up to $1,750 per person in a year at no cost to you.
    After that, you pay 20% of the cost of each prescription.

    If you are single and your income is $8,860 to $17,720 a year or if you live with your spouse and together your income is $11,940 to $23,880 a year:

    • For the first $1,750 per person of SeniorCare benefits in a year, you pay $1 for each generic and $4 for each brand name prescription.
    • After that, you pay $1 per generic and $4 per brand name plus 20% of the cost of each prescription.

    *When a generic drug is available but you want a brand name drug, you will probably pay more.

    How do I apply?
    You must file IL-1363 Application for Circuit Breaker and Pharmaceutical Assistance. We have applications here at the Senior Center or you can get a copy from the Illinois Department of Revenue. Also if this is NOT your first time applying you may apply online at www.iltax.com/circuitbreaker/

    CALL: Forms Order Line (toll free) 1-800-356-6302

    WRITE:
    SeniorCare
    Illinois Department of Revenue
    P.O. Box 19021
    Springfield, IL. 62794-9021

    LOG ON: www.iltax.com

    Can I get help to apply?
    You can get help here from the Senior Center:
    Call: 815-626-7707 or toll free 1-800-645-2859
    or y
    ou can get help from a local agency serving seniors. To find an agency near you call (toll free):
    Senior Help Line: 1-800-252-8966 (Voice or TTY) or
    Health Benefits Hotline: 1-800-226-0768 (TTY 1-877-204-1012)

    When will I know if I qualify?
    The first time you qualify, we will send you a SeniorCare card about four to six weeks after we receive you accurately completed application.

    How do I use SeniorCare?
    Make sure that you take your card to the pharmacy the first time you use SeniorCare. After that, you do not have to show your card each time you pick up your medications, buyt you will have to provide your Social Security Number.

    How can I renew SeniorCare?
    To keep getting SeniorCare without a break in coverage, you must send in a completed IL-1363 application at least three months before your current card expires. If your application is approved, we will send you a new card about seven days before you SeniorCare ends. You must re-apply for SeniorCare every year.

    For more information contact our office 815-626-7707

    1207 West Ninth Street • Sterling, Illinois 61081 • (815) 626-7707
    • 1-800-645-2859 • Fax (815) 625-0155

     

    Illinois now offers 3 programs for older people and people with disabilities to help pay for prescription drugs

    Illinois Rx Buying Club

    • Members enjoy discounts on all presriptions at participating pharmacies and by mail order.
    • For people 65 and over and people with disabilities at any income.
    • No limits. No caps. No income restrictions. No paperwork.
    • A $25 annual fee for administrative costs.

    Illinois SeniorCare

    • A Medicaid waiver program with income limits --
        $17,960 for a 1-person household;
        $24,240 for a 2-person household.
    • Covers most prescription drugs and many over-the-counter drugs if doctor prescribed.
    • You must be a citizen or qualified non-citizen.

      Circuit Breaker/Pharmaceutical Assistance

    • A state program for low-income people whoseincomes are a bit too high for SeniorCare
    • Covers prescriptions for Alzheimer's disease, arthritis, cancer, diabetes (including insulin, the syringes and needles), glaucoma, heart and blood pressure problems, lung disease and smoking-related illnesses, multiple sclerosis, osteoporosis and Parkinson's disease.
    • Applicants are also automatically placed in the illinois Rx Buying Club for coverage of additional drugs.

     

    Frequently Asked Questions

    How do I apply for the program?
         The applications are now available. Call the Illinois Department on Aging's Senior HelpLine at 1-800-252-8966 (Voice and TTY) or link to www.state.il.us/aging. Those persons who have submitted Circuit Breaker applications will automatically be enrolled.

    What is the cost of the Program?
         The annual fee will be $25.

    If my spouse wants a card, must they also pay $25?
         Yes, if two or more persons in the household are eligible, each eligible member will need to apply and pay the required fee of $25.

    How long will it take to get my card?
         Eligibility of each applicant for the program will be determined and an identification card issued within 30 days of application.

    What drugs are covered?
         All prescription drugs approved by the FDA and marketed in the U.S. are covered under the program. A preferred drug list is available at the Web site, www.savrx.com

    Are there income limits?
         There are no income limits for the program.

    How do i get my drugs?
         Participating retail pharmacies will give immediate discounts to club members at the point of sale. Mail-order service is also offered.

    If I am on the Circuit breaker Prescription Program or SeniorCare, will I have a second card?
         Yes.

    What pharmacies will accept the card?
         Most pharmacies participate in the program. A list of participating pharmacies is available at www.savrx.com.

    What will I be paying for my medications?
         The estimated savings will be between 20 to 30 percent of the regular drug-store price.

    I am not 65 but have a disability, can i get the card?
    The card will be available to all residents of Illinois who are 65 and over and those with disabilities.

     

    Circuit Breaker Sign up Info

         The Whiteside County Senior Center will be offering Circuit Breaker/Pharmaceutical Assistance. If you are 65 or older or disabled and your income is under $21,218 for a single person or $28,480 for a couple Circuit Breaker/Pharmaceutical Assistance may work for you. Please bring proof of income, property taxes or rent (landlord's name, address, phone number and rent paid) information for 2002 to any of these sign ups.
         Those over 60 can come to any of the following sites and have their circuit breaker filled out at no charge. Persons under 60 are also welcome, but are asked for a $5 donation to file their apllication or can contact Tri-County and they can do their application for free.
         Please try to make it to any of these signups to renew your applications as they need to be renewed every year by March 31. We will plan to have extra staff on hand to assist int he application process during these times only.
         Please contact the senior center if you have any further questions at (815) 626-7707 or (800) 645-2859.