Nobody should
have to choose between buying groceries and paying for their medications.
We can help.
Introducing AmeriPLan's Enhanced Rx Solution! As
an AmeriPlan® member, if your prescription drugs are costing you more
than $90 a month .... AmeriPlan® may have the Solution! AmeriPlan® now
offers, to its members who qualify, the AmeriPlan® Prescription Advocacy
Program (APAP). APAP provides an easy, affordable way to obtain costly
prescription medications. We offer a low-cost, worry-free, full-service
prescription assistance program designed to utilize Patient Assistance
Programs (P.A.P.s) currently offered by pharmaceutical companies that provide
medications to eligible individuals
Our plan offers you UNLIMITED FREE Prescriptions
Monthly service fee of only $82.00
giving you 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 on use
No paperwork, other than completing
our application form
Great Solution for Seniors with
Medicare Part D
See if you Qualify
STEP 1: APAP ANNUAL INCOME QUALIFICATIONS
Use this chart to determine the income eligibility
of yourself and/or your family.
PERSONS IN FAMILY/HOUSEHOLD.............MAXIMUM
INCOME
1 (Single)................................................$20,420
2 persons ..............................................$27,380
3 persons ..............................................$34,340
4 persons ..............................................$41,300
5 persons ..............................................$48,260
6 persons ..............................................$55,220
7 persons ..............................................$62,180
8 persons ..............................................$69,140
STEP 2:
RX COVERAGE STATUS
No Rx coverage from an insurance policy or government
assistance program (e.g. Medicaid,
V.A., state assistance, etc.)
Rx benefit has been exhausted
Prescribed medication is specifically not covered
under Rx formulary
STEP 3:
MONTHLY FEES
ONE-TIME Sign-Up Fee... $25.00
Monthly Service Fee... $82.00
$25 Sign-Up fee and first month’s
service fee due upon Sign-Up ($107.00)
APAP Applicants must be AmeriPlan® Members to receive the discounted
$82 per month service fee.
EXAMPLES OF SAVINGS EXPERIENCED BY APAP
CLIENTS
CLIENT EXAMPLE #1
MEDICATION
DOSAGE/QUANTITY
RETAIL
APAP
Advair®
250/50mcg/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
Zoloft®
25 mg/30 tablets
$86
$0
Monthly fee
$0
$82
TOTAL COST PER MONTH
$732
$82
CLIENT #1 REDUCED HIS TOTAL MONTHLY COST BY OVER 80%, SAVING HIM $650 PER MONTH.
WITH APAP, HE WILL SAVE OVER $7,800 PER YEAR!
CLIENT
EXAMPLE #2
MEDICATION
DOSAGE/QUANTITY
RETAIL
APAP
Actos®
30 mg/30 tablets
$186
$0
Celebrex®
200 mg/30 tablets
$190
$0
Monthly fee
$0
$82
TOTAL COST PER MONTH
$376
$82
CLIENT #2 REDUCED HER TOTAL MONTHLY COST BY OVER 78%, SAVING HER $294
PER MONTH. WITH APAP, SHE WILL SAVE OVER $3,500 PER YEAR!
This program
is available as an add on to the following plans:
Programs available
in:Alabama
Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia
Hawaii Idaho Iowa Illinois Indiana Kansas Kentucky
Louisiana Maine Maryland Massachusetts Michigan Minnesota Missouri Mississippi
Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina
Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina Tennessee
Texas Utah, Virginia Washington Washington DC West Virginia Wisconsin
