Office of AIDS
Medicare Part D Premium Payment Program
The Medicare Part D Premium Payment Program pays insurance premiums for persons living with HIV/AIDS who are enrolled in both a Medicare Part D prescription drug plan and the AIDS Drug Assistance Program (ADAP).
To be eligible for Medicare Part D Premium Assistance, you must:
- Be a resident of California;
- Have an HIV/AIDS diagnosis;
- Be at least 18 years old;
- Be enrolled in ADAP;
- Be enrolled in a Medicare Part D Prescription Plan*
- Not be receiving 100% assistance from Medicare’s Extra Help/Full Low Income Subsidy.
*A Medicare Part D Prescription Plan must be a participating Medicare Part D Premium Payment Provider. Find participating providers by visiting https://www.medicare.gov/find-a-plan/questions/home.aspx.
How to Apply
You can apply directly to OA by faxing or mailing a completed Medicare Part D Premium Payment Program application. On November 15 of each year, OA accepts applications for the following year, but applications may be submitted anytime for the current year. OA will pay premiums for an entire calendar year for approved applications received by February 28. OA will pay the balance owed for applications received after this date.
Submit completed form to OA at:
Insurance Assistance Section
California Department of Public Health
PO Box 997426, MS 7704
About this Program
For Medicare Part D information and links to important tools for Part D prescription plan selection call 1-800-Medicare (633-4227) or visit www.Medicare.gov.
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