FROM INFORMATION TO ACTION
How to apply
Request the form at 844-245-9580 or print it from the page; mail it signed with evidence to the listed address.
- 01
Request the form at 844-245-9580 or print it from the page; mail it signed with evidence to the listed address.
Applications are handled by the provider. Confirm the current cycle and exact requirements on its website.
Geographic coverage
DE; the organization confirms the service area and applicable requirements.
- DE
What it offers
Up to $3,000 annually for medically necessary prescriptions and eligible Medicare Part D premiums.
Award amount or benefit
Not confirmed. Check with the official organization.
Who it is for
Not confirmed. Check with the official organization.
Published eligibility requirements
Residents age 65 or older, or under 65 receiving Social Security disability benefits, whose income or prescription costs meet the rules; other-coverage limits apply.
Income requirements
Not confirmed. Check with the official organization.
Academic requirements & grade level
Not confirmed. Check with the official organization.
Residency requirements
Not confirmed. Check with the official organization.
FAFSA requirements
Not confirmed. Check with the official organization.
Citizenship restrictions, if applicable
Not confirmed. Check with the official organization.
Documents requested
Not confirmed. Check with the official organization.
Renewal information
Not confirmed. Check with the official organization.
Contact information
Not confirmed. Check with the official organization.
Sources & verification
- Verification status
- Reviewed with limitations
- Source review
- Oct 14, 2026
- Added to this catalog
- Oct 14, 2026
- Last updated
- Oct 14, 2026
Verification documents the evidence reviewed at that time. A working link alone does not establish availability, and verification is never a guarantee of eligibility.
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