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Extra Help with Medicare Prescription Drug Plan Costs

The Federal Government provides an extensive program for people needing financial assistance with the Medicare Part D program. Depending on your income and available financial resources , Medicare will provide "Extra Help" that may cover 85% to 100% of prescription costs and may also pay a part or all of your Medicare Part D premiums.


Who Qualifies for "Extra Help"?

For the plan year 2015 If your income is below $17,505 per year for a single person (or $23,595 for a married couple living together or even more if you have dependent children or grandchildren living with you), AND if your assets are below $13,440 for a single person (or $26,860 if you are married).

The following items are NOT included in income:
  • Housing assistance,
  • Medical treatment and drugs,
  • Food stamp assistance, etc.
Click Here to see more payments that do NOT count toward income.


The following items are included in resources:
  • bank accounts,
  • stocks and bonds,
  • Real estate (other than your primary residence), etc.
The following items are NOT included in resources:
  • the house you live in,
  • your car,
  • other personal possessions such as your furniture and jewelry, etc
Click Here to see more payments that do NOT count toward resources.

Click on the year below to change the above qualification figures for that year:
2015   2014   2013   2012   2011   2010   2009   2008   2007   2006

If you receive the full Extra-Help, full LIS, or are dual eligible for Medicare and Medicaid, there are Medicare Prescription Drug plans in your state the will qualify for the $0 monthly premium. Click on your state below to see PDP plans that qualify for the $0 premium:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY 


Who Should You Contact for "Extra Help"?

Medicare Beneficiaries Who are interested in qualifying for financial "extra help" with the Medicare Part D Prescription Drug plans should visit https://secure.ssa.gov/apps6z/i1020/main.html


2015 Low-Income Premium Subsidy Amounts

The2015 low-income premium subsidy amounts have been released by the Centers for Medicare and Medicaid Services (CMS) Click here for a chart showing the 2015 Medicare Part D premium subsidy per CMS region (state) along with the amounts for each year since 2006.

Also see:
: : What is the income limit for extra help?
: : What does not count toward the income limit?
: : What is the resource limit?
: : What does not count as a resource?
: : Income and Resources (Assets) Worksheet
: : CMS Guide to LIS Mailings Summer and Fall 2014
: : 2015 Low-Income Subsidy Benchmark Premium Amounts (includes 2015 - 2006 for comparison)
: : What will Plans be like in 2015
: : 2014 Federal Poverty Level Guidelines: 2014-2015 LIS Qualifications and Benefits

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