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The Medication Assistance Program (also called MAP, or Plan D) provides coordinated access to prescription medications for Kent County residents whose incomes are 200% or less of poverty and who are not eligible for any government sponsored prescription program.
Eligibility Requirements
- Age 19-64 (children and seniors who are non-U.S. citizens may qualify)
- Meet the income guidelines (see below)
- Kent County resident
- Have no prescription coverage
- Not eligible for Medicaid, Medicare, MIChild or Healthy Kids
- Non U.S. citizens ARE ELIGIBLE if they meet the above requirements
Income Guidelines
NOTE: These amounts refer to gross income (income before deductions)
Household of 1 = $21,780 per year (or less)
Household of 2 = $29,420 per year (or less)
Household of 3 = $37,060 per year (or less)
Household of 4 = $44,700 per year (or less)
Household of 5 = $52,340 per year (or less)
Add $7,640 for each additional family member
Covered Services and Copays
- There is no fee for enrollment and membership in this program.
- There is a small copay for prescription medications:
- $4 copay for generic medications
- $10 copay for brand name medications
- To view the list of medications covered by MAP, click here. NOTE: The medications covered by MAP/Plan D are the same as those covered by Plan B.
- Some medications require prior authorization before being filled. To request prior authorizations for medications, please call Kent Health Plan at (616) 726-8204.
- Kent Health Plan has recently made some changes to the prior authorization process. Some brand name medications will now be covered under the following:
- An application will be made to the Pharmacy Assistance Program (PAP) for that medication.
- A medication will be covered through the Community Medical Fund (CMF) for up to 90 days until a member begins to receive their medication from the Pharmacy Assistance Program.
- To view a list of medications available through the CMF and PAP, click here.
- Members will need to contact their doctor’s office to complete an application for the Pharmaceutical Assistance Program. If a doctor’s office is unable to help with this process, the member may contact Kent Health Plan (726-8204) for assistance in completing the application
- For any other medication inquiries, please call Kent Health Plan at (616) 726-8204 or email Jan at JHronek@kenthealthplan.org.
- To view information about classes, workshops and 1-on-1 meetings, click here.
Enrollment
The Medication Assistance Program is currently accepting new patients. If you meet the eligibility requirements listed above, and are a current client of (or become a client of) one of the following organizations and locations, you may be able to enroll in the program. Please note specific instructions for the appropriate organization.
Participating Organizations
- Grand Valley State University – Family Health Center, 72 Sheldon Ave. SE. Please call (616) 988-8774 to schedule an application appointment.
- Health Intervention Services, 15 Andre St. SE. Please call (616) 475-8446 to schedule an application appointment.
- Metro Health – Breton, 1925 Breton Ave. SE. Please call Teresa at (616) 252-4722 to schedule an application appointment.
- Project Access, 233 E. Fulton St., Suite 108. Please call (616) 459-1111 to schedule an application appointment.
- Saint Mary’s Health Care
- Browning Claytor Health Center, 1246 Madison Ave. SE. Please call HealthLink at (616) 685-3850 to schedule an application appointment.
- Clinica Santa Maria, 730 Grandville Ave. SW. Please call HealthLink at (616) 685-3850 to schedule an application appointment.
- Heartside Clinic, 359 S. Division Ave. Please call HealthLink at (616) 685-3850 to schedule an application appointment.
- Sparta Family Health Center, 475 S. State St. Please call (616) 685-1300 and ask for Cynthia.
- Wege Family Medicine, 300 Lafayette Ave. SE. Please call 752-6922 to schedule an application appointment.
- Wege Internal Medicine, 300 Lafayette Ave. SE. Please call 752-5737 to schedule an application appointment.
- Senior Neighbors, Inc., 820 Monroe Ave. NW, Suite 460. Must be 60-64 years of age. Call (616) 459-6019 for an application appointment.
- Spectrum Health – Internal Medicine Residency Practice, 21 Michigan St. NE, Suite 425. Please call Joel at (616) 391-3777.
- Touchstone Innovaré, 201 Sheldon Ave. SE. Please call (616) 459-0255, ext. 202 for an application appointment.
You will need to bring the following items to your application appointment:
Examples include:
- Recent paycheck stubs
- Unemployment checks
- Social Security benefit statements
- Previous year’s tax return
- Proof of Current Address
Examples include:
- Driver’s license
- Michigan ID
- Recent utility bill or paycheck stub with name and address
If you have any additional questions about enrolling in this program, please contact Josué by phone at (616) 726-8204 ext. 231 or by email at jmelendez@kenthealthplan.org.
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