Administrative Rules of Montana
Department 37 - PUBLIC HEALTH AND HUMAN SERVICES
Chapter 37.81 - PHARMACY ACCESS PRESCRIPTION DRUG BENEFIT PROGRAM
Subchapter 37.81.3 - Big Sky Rx Program
Rule 37.81.304 - AMOUNT OF THE BIG SKY RX BENEFIT
Universal Citation: MT Admin Rules 37.81.304
Current through Register Vol. 18, September 20, 2024
(1) An applicant eligible for the Big Sky Rx PDP premium assistance may receive a benefit not to exceed $42.20 per month The benefit amount will not exceed $42.20 regardless of the cost of the premium for the PDP the individual chooses
(a) If a portion of the applicant's PDP
premium is paid through the Extra Help Program, the Big Sky Rx Program will pay
the applicant's portion of the PDP premium up to $42.20 per month.
(b) Big Sky Rx does not pay for the cost of
an enrollee's drugs or the cost of an enrollee's deductible, coinsurance, or
copayments.
(c) All expenditures
are contingent on legislative appropriation. The amount of the monthly benefit,
$42.20, extends the Social Security Extra Help benefit amount to Montana
residents with income up to 200% FPL. The department's total expenditure for
the program will be based on appropriation and the number of enrolled
applicants.
AUTH: 53-2-201, 53-6-1004, MCA; IMP: 53-2-201, 53-6-1001, 53-6-1004, 53-6-1005, MCA
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