For assistance or questions call 1-866-277-2172 | Return to Home Get approved for FREE medications! Our application is fast, simple and secure! About Drug Programs | How It Works | Savings Examples | See If You Qualify | Drug List | FAQ | Apply Online Qualifying and enrolling is a simple three step process (You must be a current AmeriPlan Member to apply) STEP 1: Income Limits APAP Annual Income Qualifications These are the maximum income limits to determine if you are eligible. Persons in family or household 1 (single) ........... 2 ........................ 3 ........................ 4 ........................ 5 ........................ 6 ........................ 7 ........................ 8 ........................ Income (48 Contiguous States & DC) $20,800 $28,000 $35,200 $42,400 $49,600 $56,800 $64,000 $71,200 STEP 2: What is your current Rx coverage? Rx Coverage Status •  No Rx coverage from insurance benefit or government assistance program (e.g., Medicaid, V.A., state assistance, etc.) •  Rx benefit has been exhausted from your insurance plan •  Medication is specifically not covered under Rx formulary •  You are on Medicare. Enrolled in Part D and in the "Donut Hole" or known as the coverage "Gap" STEP 3: Must be a US Legal Resident •  Reside legally within the United States •  Must have a Social Security number Enroll with APAP If you meet the eligibility requirements above and are an AmeriPlan Member you may enroll in this program by clicking on "Apply Online" and completing our simple online application. There is a ONE-TIME Sign-up Fee of $25.00 and monthly medication fee of $82 per month (the $25 Sign-up Fee and first month's service fee is due upon sign-up - $107.00). Fees may be paid either by bank draft or credit card. Once your application has been submitted you will be contacted by phone by a Prescription Specialist who will verify your eligibility, review your medications and get you started on the program (If you do not meet the eligibility requirements after speaking with the Prescription Specialist you will still be charge the ONE-TIME $25 Sign-up Fee.) For Qualification Questions call PAS Customer Service 1-800-598-8664 Monday thru Thursday 8:00 am – 5:00 pm Eastern Standard Time. Friday 8:00 am – 12:00 pm Eastern Standard Time. Home | About Drug Programs | How It Works | Savings Examples | See If You Qualify | Apply Online APAP is NOT Insurance. © Copyright: AmeriPlan USA, Corporation, 2008 Use of the content of this site is expressly prohibited without written permission from AmeriPlan USA.