Located at:
Van Dee Medical Building
4 Eustis Street Eustis, FL 32726
Phone: (352) 357-1668
Fax: (352) 589-0415
(Monday thru Friday 8 AM - 5 PM)
Prescription assistance is available for low-income residents of Lake County. Assistance is limited to $900 per person, per year. A fee of $7.00 is charged per medication, up to $21.00 per visit
How do I know if I am eligible?
To be eligible for prescription assistance, you must:
- Have an income at or below 80% of HUD established poverty limits, adjusted for family size and medical expenses
- Not have assets of more than $5,000 cash value (this excludes your home and one vehicle)
- Must not have any type of prescription insurance
What are the income limits?
| Family Size | Max. Allowable Annual Income | Max Allowable Monthly Income |
|---|---|---|
| 1 | $34,350 | $2,862 |
| 2 | $39,250 | $3,271 |
| 3 | $44,150 | $3,679 |
| 4 | $49,050 | $4,087 |
| 5 | $53,000 | $4,417 |
| 6 | $56,900 | $4,742 |
| 7 | $60,850 | $5,071 |
| 8 | $64,750 | $5,396 |
|
If your adjusted income is equal to or less than the maximum allowable income, you may be eligible for assistance. |
||
To Apply:
Contact the Lake County Health Department Prescription Assistance Program for more information and to schedule an appointment:
What do I need to bring when I apply?
- Driver's license/Identification Card and Social Security Card for everyone in household.
- Birth Certificate or Voter's ID for applicant.
- Proof of household income (recent pay stubs or S. S.) for everyone in household.
- Proof of Lake County residency (utility bill with your name and address).
- Your most recent statement of any benefits you receive (unemployment compensation, any forms of public assistance, pensions, and retirement benefits).
- Your most recent bank statements (checking accounts, savings, or certificate of deposit).
- You're most recent statements showing any dividend, interest, or annuity income.
- Documentation showing recurring medical expenses not covered by insurance (prescription medications, oxygen, physical therapy, or other treatment).
- Original prescriptions from doctor or Prescription bottles with RX #s and Refills remaining.
