Extra Help is a federal low income subsidy (LIS) program that assists with prescription drug plan premiums, annual deductibles, and co-payments.
Anyone who has Medicare is eligible to apply, however, in order to qualify you must meet certain income and resource limits. Those who do qualify typically save several thousand dollars per year on average with Generic drug costs typically $3.70 each or less and Brand Name drug costs $9.20 each or less.
While many people are required to contact the Social Security Administration in order to apply or see if they qualify, others are automatically enrolled into Extra Help and will receive either a purple or yellow letter from Medicare informing them of this. You may also know you have automatically qualified for the program if approximately 3 months before your Medicare effective date you receive a card in the mail with information mentioning Rx or PDP. The card will come from a private insurance company and should list Rx on the card (referring to prescription drugs) or have the letters PDP which stand for Prescription Drug Plan. This card will become effective on the same date that your Medicare coverage begins.
For those that are not automatically enrolled into Extra Help, please review the Income & Resource limits found below to see if you may qualify.
Income & Resource Limits Current for 2021
Individual Annual Income at $19,560 or less (approximately $1,630 per month)
Married Couple Annual Income at $26,376 or less (approximately $2,198 per month)
Individual Resources (Savings & Investments) not more than $14,790
Married Couple Resources (Savings & Investments) not more than $29,520
Most Common Resource Exclusions Include:
Primary Residence, Personal Vehicle, Personal Possessions, Life Insurance, Burial Plots, and Social Security Back Payments
Please contact us for more information about this program and to see which drug coverage will work best for you once enrolled.