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  • Paad Application - Paco

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State of New Jersey D DEPARTMENT OF HEALTH A N D S EN IO R S E R VIC E S CHRIS CHRISTIE Governor PO BOX 637 TRENTON, NJ 08646-0637 KIM GUANO Lt. Governor www.nj.gov/health POONAM ALIGN, MD, MSHCPM,.

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How to fill out the Paad Application - PACO online

Filling out the Paad Application - PACO is essential for accessing benefits from the Pharmaceutical Assistance to the Aged and Disabled program. This guide will walk you systematically through each section of the application to ensure you provide all necessary information accurately.

Follow the steps to complete your application successfully.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information. Provide your full name, date of birth, and Social Security number clearly in the designated fields. Use block letters where indicated.
  3. If applicable, fill out your spouse’s information. Ensure all questions associated with your spouse are answered, even if they are not applying.
  4. Indicate your marital status and provide details about changes in status over the past year, if applicable. If separated, additional documentation may be required.
  5. Enter your principal place of residence, ensuring to provide two proofs of residence dated within the last six months. This could include utility bills or government correspondence.
  6. Complete the income section by listing all sources of income for you and your spouse, if applicable. Ensure you don't include Social Security income in this section.
  7. Provide details about your Medicare information. You must include your Medicare Claim Number and coverage information to qualify.
  8. Complete the health insurance section by listing any additional health insurance you may have and include necessary documentation.
  9. Move to the Utility or Lifeline Assistance Program section if you are applying for those benefits. Enter your utility account numbers and submit relevant documents.
  10. Review the entire application for completeness and accuracy, ensuring each section is filled correctly. Then, follow the instructions for submitting the application, including required accompanying documents.
  11. After completing the form and attaching all necessary documents, save your changes, download a copy for your records, and print the form if needed.

Take the first step towards accessing your benefits by completing the Paad Application - PACO online today.

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You may be eligible for PAAD if you meet the following requirements: You are a New Jersey resident; You are age 65 or older or between ages 18 and 64 and receiving Social Security Title II Disability benefits; and. Your income for 2023 is less than $42,142 if single or less than $49,209 if married.

You may be eligible for PAAD if you meet the following requirements: You are a New Jersey resident; You are age 65 or older or between ages 18 and 64 and receiving Social Security Title II Disability benefits; and. Your income for 2023 is less than $42,142 if single or less than $49,209 if married.

The Senior Gold Prescription Discount program helps eligible New Jersey residents pay for prescription drugs, , needles and syringes and needles for injectable medicines used for the treatment of multiple sclerosis. Only drugs approved by the Food and Drug Administration are covered.

To be eligible for LIHEAP benefits, the applicant household must be responsible for home heating or cooling costs, either directly or included in the rent; and have gross income at or below 60% of the State Median Income.

The PAAD and Senior Gold Prescription Discount drug assistant programs are available to residents 65 and older and those with disabilities. PAAD cuts drug prices to $5 for covered generic drugs and $7 for covered name brands. Senior Gold cuts prices in half after a $15 copay for covered prescriptions.

PAAD will use this information to determine PAAD income eligibility. NOTE: This question does NOT ask the applicant or spouse (if applicable) to include income from Social Security Benefits, Wages, Self-Employment, Interest, or Dividends. These sources of income will be asked for in Questions 10 and 14.

The Senior Gold Prescription Discount program helps eligible New Jersey residents pay for prescription drugs, , needles and syringes and needles for injectable medicines used for the treatment of multiple sclerosis. Only drugs approved by the Food and Drug Administration are covered.

PAAD has a $5 copayment for generic drugs, $7 for brand name drugs, and will cover necessary medication costs of anything above that copayment, so it keeps the cost of your medications simple and easy to track.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232