Extra Help for Limited Income Individuals
Extra Help for Prescription Drug Costs
The Federal government has a program called (also called the Low Income Subsidy). This program helps people with limited incomes pay for their prescription drug premiums and costs with Medicare Part D. Read more about
Extra Help and how you may qualify for it.
People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:
- 1‐800‐MEDICARE (1‐800‐633‐4227). TTY users should call 1‐877‐486‐2048, 24 hours a day/7 days a week;
- The Social Security Office at 1‐800‐772‐1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1‐800‐325‐0778; or
- Your State Medicaid Office.
If you qualify for Extra Help, once you are enrolled in one of our Medicare Advantage Prescription Drug Plans (MA-PD), this subsidy will be applied to your coverage and we will send you information on the lower amount for your monthly premium. At the pharmacy, you will be charged lower copayments for your prescription drugs. Note that Extra Help will not pay for your monthly Medicare Part B premium.
There are four different levels of Extra Help. Depending on which level you are eligible for, your monthly plan premium will vary. The four levels of Extra Help cover either, 100%, 75%, 50% or 25% of a portion of your monthly Medicare Part D plan premium. Extra Help does not always apply to the full amount of your Medicare Part D plan premium.
Remember: In order to use the Extra Help Program you must be enrolled in a Medicare Prescription Drug plan (PDP) or MA-PD plan.