Frequently Asked Questions about Extra Help - LIS - Medicaid

Mar, 02 2022 — The Qualified Medicare Beneficiary (QMB) program is one of four Medicare Savings Programs (QMB, SLMB, QI, and QDWI) established by Medicare to help low-income Medicare beneficiaries pay their Medicare . . .

Jan, 15 2023 — To apply for the Medicare Part D Extra Help program: You can call the Social Security Administration about the Extra Help program at 1-800-772-1213, Monday through Friday between 7 am an . . .

Dec, 19 2022 — You have two options: You can select a new Medicare Part D plan that covers all of your medications. Medicaid and "Extra Help" recipients both receive a quarterly Special Enrollment Period and can . . .

Aug, 16 2022 — SLMB is one type of Medicare Savings Program for the "Specified Low - Income Medicare Beneficiary" and, according to the Centers for Medicare and Medicaid Services (CMS), SLMB is defined as: "A Medic . . .

Jan, 15 2023 — The Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) or Extra Help program. The Medicare Part D E . . .

Oct, 30 2022 — A Medicare Advantage Medicare-Medicaid plan (MMP) is a private health plan designed to provide integrated and coordinated Medicare and Medicaid benefits for dual eligible Medicare beneficiaries.

Jul, 06 2022 — A Medicare Savings Program (MSP) is one of four different Medicaid programs (QMB, SLMB, QI, QDWI) available for people with limited financial resources and, depending on a person's income and assets, . . .

Jun, 20 2016 — Your eligibility will be reviewed every year to see if you still qualify for extra help.If you do qualify, you don’t need to reapply because the review will be sent to you automatically.However, . . .

Aug, 23 2022 — No.  There are no Medicare Part D plans that are totally "free" to low-income Medicare beneficiaries, but there may be plans with a $0 (or low) monthly premium, no deductible, no coverage gap, an . . .

Jun, 20 2016 — PACE (Pharmaceutical Assistance Contract for the Elderly) and PACENET (PACE Needs Enhancement Tier) are enrolling their members into Medicare drug plans. PACE and PACENET will work closely with Medica . . .

Jun, 20 2016 — If you have Medicare and full Medicaid coverage, you can change plans at any time throughout the plan year (or month to month). The plan change will be effective at the beginning of the next month. (S . . .

Jan, 18 2023 — Not always.  If you are "Dual Eligible", qualifying for both Medicare and Medicaid, you will automatically qualify for the Medicare Part D full Low-Income Subsidy (LIS) or Extra Help program. . . .

Jun, 20 2016 — Yes. Wages or salary paid under this program are counted as earned income when determining if you qualify for extra help.(Source: U.S. Department of Health & Human Services) . . .

Mar, 02 2022 — The Qualifying Individual (QI) program is one of four Medicare Savings Programs (QMB, SLMB, QI, and QDWI) established by Medicare.  QI helps low-income Medicare beneficiaries pay their Medicare P . . .

Aug, 01 2022 — Your monthly Medicare Part D premium can be broken into two parts: the Basic and Supplemental Premiums.  And Medicare provides the technical definitions of Total Premium, Basic Premium, and Suppl . . .

Sep, 01 2022 — Our PDP-Finder offers Medicare Part D Extra Help information for beneficiaries, advocates and nursing homes who are trying to see which Medicare Part D plans in their state qualify for the $0 monthly . . .

Jul, 26 2022 — No.  If you qualify for the Medicare Part D Extra Help program or Low-Income Subsidy (LIS), then you will never enter the Donut Hole or Coverage Gap -- and the cost of your prescriptions will r . . .

Oct, 05 2022 — It depends on the Part D plan you choose.  If your Medicare Part D prescription drug plan has a monthly premium below (or close to) your state's Low-Income Subsidy (LIS) Benchmark premium, and it . . .

Jan, 22 2023 — No, whether you qualify for full- or partial*-Extra Help - you can only change Medicare plans three times a year.  If you are eligible for the Medicare Part D Extra Help or the Low-Income Subsidy . . .

Sep, 01 2022 — Medicare Part D prescription drug coverage is available to everyone with Medicare, regardless of your income and resources, health status, or current prescription expenses.  You only need to be e . . .

Jan, 27 2023 — There are several reasons why you are still paying a monthly Medicare Part D plan premium even though you are qualified for Medicaid or Extra Help benefits: (1) Your plan does not meet the bench . . .

Jan, 22 2023 — No, whether you qualify for full- or partial*-Extra Help - you can only change Medicare plans three times a year.  If you are eligible for the Medicare Part D Extra Help or the Low-Income Subsidy . . .

Jan, 22 2023 — The Medicare Part D Extra Help or Low-Income Subsidy (LIS) program helps people with limited financial resources pay for their Medicare Part D prescription drug coverage. If you receive Medicare Pa . . .

Jan, 18 2023 — Not always.  If you are "Dual Eligible", qualifying for both Medicare and Medicaid, you will automatically qualify for the Medicare Part D full Low-Income Subsidy (LIS) or Extra Help program. . . .

Jan, 15 2023 — If you are eligible for the Medicare Part D Extra Help or Low-Income Subsidy program, you should pay only a small co-payment for prescriptions covered by your Medicare plan, and, depending on your lev . . .

Jan, 15 2023 — To apply for the Medicare Part D Extra Help program: You can call the Social Security Administration about the Extra Help program at 1-800-772-1213, Monday through Friday between 7 am an . . .

Jan, 15 2023 — The Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) or Extra Help program. The Medicare Part D E . . .

Dec, 19 2022 — Yes. You can apply for the Medicare Part D financial Extra Help program (or Low-Income Subsidy) at any time throughout the plan year - even when you are already enrolled in a Medicare Part D plan. . . .

Dec, 19 2022 — You have two options: You can select a new Medicare Part D plan that covers all of your medications. Medicaid and "Extra Help" recipients both receive a quarterly Special Enrollment Period and can . . .

Dec, 08 2022 — Yes, the Medicare Part D Extra Help or Low-Income Subsidy (LIS) program helps people with limited financial resources (income and assets) pay for their Medicare Part D prescription drug coverage - and . . .

Nov, 20 2022 — No.  You are not responsible for a late-enrollment penalty (LEP) if you are now eligible for the Medicare Part D Extra Help or Low-Income Subsidy (LIS) program.   However, you may still . . .

Oct, 30 2022 — A Medicare Advantage Medicare-Medicaid plan (MMP) is a private health plan designed to provide integrated and coordinated Medicare and Medicaid benefits for dual eligible Medicare beneficiaries.

Oct, 05 2022 — It depends on the Part D plan you choose.  If your Medicare Part D prescription drug plan has a monthly premium below (or close to) your state's Low-Income Subsidy (LIS) Benchmark premium, and it . . .

Sep, 05 2022 — Each state that has a State Pharmacy Assistance Program (SPAP) will decide how its program will work with the Medicare drug coverage. Some states may choose to give extra coverage when . . .

Sep, 01 2022 — Our PDP-Finder offers Medicare Part D Extra Help information for beneficiaries, advocates and nursing homes who are trying to see which Medicare Part D plans in their state qualify for the $0 monthly . . .

Sep, 01 2022 — Medicare Part D prescription drug coverage is available to everyone with Medicare, regardless of your income and resources, health status, or current prescription expenses.  You only need to be e . . .

Sep, 01 2022 — You have the right to appeal Social Security's decision regarding your Low-Income Subsidy / Extra Help status. The Social Security decision letter you get from Social Security will explain your appeal . . .

Aug, 31 2022 — If you are in a Program of All-inclusive Care for the Elderly (PACE) and wish to stay in your PACE plan with prescription drug coverage, you don't have to do anything to continue to get your drug cove . . .

Aug, 31 2022 — It is our understanding that it sometimes takes a month for your low-income subsidy or Medicare Part D Extra Help information to be sent to your Medicare Part D plan provider from Medicare/Medicaid. . . .

Aug, 30 2022 — PACE (Programs of All-inclusive Care for the Elderly), according to the Centers for Medicare and Medicaid (CMS) is defined as: PACE combines medical, social, and long-term care services for frail p . . .