Obtaining 100% Coverage for Medications Through PAMI‘s Social Reasons Benefit
Many PAMI members who struggle financially can benefit from a program offering 100% coverage on necessary medication. Determining eligibility isn’t complex, but involves specific requirements. Here’s a clear guide:
Understanding Eligibility and Requirements
To qualify for this program, PAMI members must meet certain criteria:
- Income limitations:
Your net income shouldn’t exceed 1.5 times the current minimum pension benefit. For those whose household income produces less than 3 times the minimum pension benefit and who share their living quarters with someone holding a Certificate of Single Disability (CUD), the maximum income limit is 3 times the minimum pension benefit.
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Lack of prepaid health coverage: Simultaneously holding active coverage through a prepaid health plan disqualifies individuals from this program.
- Asset Evaluation: PAMI evaluates assets to ensure the benefit is directed to those with limited financial resources.
Necessary documentation
Even if you meet the financial requirements, specific paraphernalia is essential for the application process:
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National identification document: You’ll need a copy of your national ID card or passport.
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Prescription: A document prescribed by a doctor, detailing necessary medications and diagnoses, both by profession and ICD-10 code.
- Sworn statement: A completed and signed affidavit form from Ramon
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