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This document is an application form for New Jersey residents to apply for benefits under the Pharmaceutical Assistance to the Aged and Disabled (PAAD) and Senior Gold Prescription Discount programs,
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How to fill out universal application for paad

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How to fill out Universal Application for PAAD, Senior Gold and Other Special Benefit Programs

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Step 1: Obtain the Universal Application form from your local agency or online.
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Step 2: Fill out your personal information, including name, address, and contact details.
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Step 3: Provide your financial information, including income sources and amounts.
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Step 4: Indicate any medical expenses or additional costs related to your healthcare.
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Step 5: Answer questions regarding residency and age eligibility.
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Step 6: Review the completed application for accuracy.
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Step 7: Submit the application to the designated agency either by mail or in-person.

Who needs Universal Application for PAAD, Senior Gold and Other Special Benefit Programs?

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Individuals aged 65 years or older.
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Disabled individuals who require assistance with medical expenses.
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Low-income seniors looking for help with prescription drug costs.
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Applicants seeking financial assistance through PAAD, Senior Gold, and other related benefit programs.
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People Also Ask about

You may be eligible for PAAD if you meet the following requirements: You are a New Jersey resident; You are age 65 or older or between ages 18 and 64 and receiving Social Security Title II Disability benefits; and. Your income for 2025 is less than $53,446 if single or less than $60,690 if married.
You may be eligible for PAAD if you meet the following requirements: You are a New Jersey resident; You are age 65 or older or between ages 18 and 64 and receiving Social Security Title II Disability benefits; and. Your income for 2025 is less than $53,446 if single or less than $60,690 if married.
Have income: between $52,142 and $62,142 (single) or between $59,209 and $69,209 (married) Senior Gold applicants do not qualify for the Lifeline Utility Credit/Tenants Lifeline Assistance Program or the Hearing Aid Assistance to the Aged and Disabled Program and, therefore, do not need to answer questions related to
Maximum MONTHLY GROSS Income Eligibility Guidelines Household SizeUSF & LIHEAP Program 1 $3,991 2 $5,219 3 $6,448 4 $7,6769 more rows
PAAD in New Jersey. If you live in New Jersey, you may have access to the Pharmaceutical Assistance to the Aged and Disabled program, also known as PAAD. This state-run program helps pay for prescription drugs for seniors and people with disabilities. It's a great resource if your income is low or moderate.
PAAD will use this information to determine PAAD income eligibility. NOTE: This question does NOT ask the applicant or spouse (if applicable) to include income from Social Security Benefits, Wages, Self-Employment, Interest, or Dividends. These sources of income will be asked for in Questions 10 and 14.
Citizens or qualified immigrants. For an adult to qualify for NJ FamilyCare, the total family income must be at or below 138% of the Federal Poverty Level. For a single person, that is $1,800 a month; for a family of 4, that is $3,698 a month (2025 guidelines).

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The Universal Application for PAAD (Pharmaceutical Assistance to the Aged and Disabled), Senior Gold, and other special benefit programs is a form used to apply for various state-sponsored assistance programs in New Jersey that help eligible seniors and individuals with disabilities access financial aid for prescription medications and other essential services.
Individuals who are seniors (generally 65 years of age and older) or are disabled and who wish to access benefits under PAAD, Senior Gold, or related assistance programs are required to file the Universal Application.
To fill out the Universal Application, individuals must provide their personal information, including name, address, date of birth, income details, and information regarding any other benefits they may receive. It is important to follow the instructions carefully and ensure all required fields are completed accurately.
The purpose of the Universal Application is to streamline the application process for various assistance programs, making it easier for eligible individuals to receive financial support for prescription drugs and other necessary services, ultimately improving their quality of life.
Applicants must report personal information such as their name, contact information, income, assets, and details about any health insurance coverage they have. It's essential to provide accurate and complete information to ensure eligibility for the programs.
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