EXTRA HELP
or Low-Income Subsidy (LIS)
Medicare beneficiaries who have limited income and resources may qualify for “Extra Help” to pay for prescription drug costs. This low-income subsidy provides financial assistance for beneficiaries who have limited income and resources. Those who are eligible will get help paying for their monthly premium, yearly deductible, prescription coinsurance and copayments, and no gap in coverage.
Some people are automatically eligible for the low-income subsidy. Those include people who are full-benefit dual eligible, SSI recipients with Medicare, and Medicare Savings Programs participants.
Some people must apply. This includes Medicare beneficiaries with income below 150% Fixed Poverty Level. (See the table below for income and asset eligibility information).
Generally, dual eligibles and others who are deemed eligible for this low-income subsidy pay no Part D plan premiums or deductibles, but pay $4.15 for generic drugs and $10.35 for brand-name drugs, depending on their income.
Don’t be afraid to ask for assistance, often people who do not believe they can qualify for assistance, do. To learn more about Extra Help or for assistance with applying, call 1-800-763-2828.
Medicare beneficiaries may also be eligible for prescription assistance through Rx For Oklahoma. For more information on Rx For Oklahoma, call 1-877-794-6552.
