Helps limited income seniors pay for their Medicare Part D premiums.

Must complete application and provide proof of income.

HoosierRx may pay up to $70 per month inPart D premium assistance.

Member must be enrolled in a Part D plan that is working with HoosierRx.

Applications may be obtained on the web site, at your local pharmacy, by calling the number above or at the following agencies:

Area IV Agency on Aging 660 North 36th Street Lafayette, IN 47905 765-447-7683

Social Security Office 10 South 2nd Street Lafayette, IN 47902 765-742-0033

Department of Child Services (DCS) 111 North 4th Street Lafayette, IN 765-742-0400