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RI PHARMACEUTICAL ASSISTANCE TO THE ELDERLY ( RIPAE)

Who Qualifys For RIPAE?

The Rhode Island Pharmaceutical Assistance to the Elderly (RIPAE) program pays a portion of the cost of generic* prescriptions purchased during the deductible and offers reimbursement to enrollees who enter the “donut hole” of their Medicare Prescription Drug Plan (Medicare Part D), to treat Alzheimer’s disease, arthritis, diabetes (including insulin and syringes for insulin injections), heart problems, depression, anti-infectives, Parkinson’s Disease, high blood pressure, cancer, urinary incontinence, circulatory insufficiency, high cholesterol, asthma and chronic respiratory conditions, osteoporosis, glaucoma and prescription vitamins and mineral supplements for renal patients for eligible Rhode Island residents 65 and older, or adults receiving Social Security Disability (SSDI) payments. RIPAE also offers limited coverage for the cost of injectible prescription drugs used to treat Multiple Sclerosis. To participate in RIPAE, the applicant must provide proof that he/she is enrolled in a Medicare Part D plan.

 

*RIPAE covers generic medications only, unless there is no generic available or a physician certifies that a brand name medication is medically necessary.

 

Depending on income, the RIPAE program pays 60, 30, or 15 percent of the cost of generic medication for the medical conditions listed above. Income guidelines increase each year in accordance with the Social Security Cost-Of-Living Adjustment (COLA). RIPAE enrollees can purchase all other FDA-approved prescriptions (except for those used to treat cosmetic conditions) at a 15% discount.

 

Annual Income Levels for RIPAE members 65 and older:

Level

Single Person

Married Couple

State Pays

Member Pays

One

$0 to $20,934

$0 to $26,170

60%

40%

Two

$20,935 to $26,279

$26,171 to $32,851

30%

70%

Three

$26,280 to $45,991

$32,852 to $52,561

15%

85%

 

For Level One RIPAE members who spend more than $1,500 in co-payments during the State Fiscal Year (July 1 through June 30) the state will pay 100% of their medication costs for the remainder of the fiscal year for drugs on the RIPAE formulary. Other benefits, such as a discount on telephone bills and cable television rates, are also available to Level One RIPAE members.

 

RIPAE for disabled persons:

Rhode Island residents between the ages of 55 and 64, who are receiving Social Security Disability (SSDI) payments, and who meet specific income guidelines, can purchase medications at the RIPAE discounted price.

 

Annual Income Levels for RIPAE disabled RIPAE member age 55 to 64:

Level Single Person Married Couple State Pays
Four

$0 to $45,991

$0 to $52,561

15%

 

Income calculations:

In determining eligibility for RIPAE, all sources of income, including Social Security benefits, are considered. While calculating eligibility for RIPAE, applicants may exclude all medical and pharmaceutical expenses that exceed three (3) percent of their annual income. The income guidelines for RIPAE are increased each year, beginning July 1, in accordance with the Social Security COLA.

Click Here for RIPAE Application Instructions

or

TO ENROLL IN RIPAE OR GET MORE INFORMATION: Call the Department of Human Services, Division of Elderly Affairs at 401-462-3000, or go to www.dea.ri.gov. The TTY number is 462-0740. Information is also available from THE POINT, Rhode Island’s Aging & Disability Resource Center at 401-462-4444, or at www.ThePointRI.org. The TTY number is 401-462-4445.