STATE OF NEW JERSEY · DEPARTMENT OF HUMAN SERVICES
Division of Aging Services · NJSave Application J1142 (FEB 25)
PAAD · Senior Gold
Lifeline · MSP
Pharmaceutical Assistance to the Aged & Disabled (PAAD)
One NJSave application screens for PAAD and other state benefit programs. Please print clearly.
filled by DearBill
awaiting an answer
Mail the completed application to: NJ Department of Human Services, Division of Aging
Services, P.O. Box 715, Trenton, NJ 08625-0715. PAAD coverage carries a co-payment of
$5 generic / $7 brand copayments. This demo prepares
a mail packet — nothing is filed electronically.