- There are no fees to join Prescription Advantage if your income is below 300% of the Federal Poverty Guidelines (FPG). You must still pay any of your Medicare Part D premiums and co-payments not covered by Prescription Advantage.
- Members with incomes between 300% and 500% of the FPG must pay a $200 annual enrollment fee to join Prescription Advantage.
- People on Medicare who have incomes above 500% of the FPG are not eligible for Prescription Advantage.
<<Click HERE for Prescription Advantage Authorized Representative Form>>
<<Click HERE to Apply online>>
<<Click HERE to Print Application>>
<<Click HERE for Prescription Advantage Application Instructions>>


