See If You Qualify

Qualifying and enrolling is a simple three step process

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)

$21,660
$29,140
$36,620
$44,100
$51,580
$56,800
$66,540
$74,020

STEP 2: What is your current Rx coverage?

Rx Coverage Status

•	Cannot have current Rx coverage (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

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.