Frequently Asked Questions about Medicaid, LIS, & Extra Help

Mar, 12 2025 — 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 . . .

Feb, 07 2025 — 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, 27 2025 — You have two options: You can select a new Medicare Part D plan that covers all of your medications. Medicaid and "Extra Help" recipients may be able to use the Dual-Eligible Special Enrollment P . . .

Mar, 12 2025 — SLMB or "Specified Low-Income Medicare Beneficiary" is a person qualifying for a type of Medicare Savings Program (MSP) designed for people with limited monthly income and resources (assets). Quali . . .

Feb, 22 2025 — 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.  And the Medicare Pa . . .

Nov, 03 2023 — 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.

Mar, 12 2025 — 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, . . .

Feb, 26 2025 — It depends on your financial status.  If you have been approved for financial "Extra Help" with your Medicare Part D expenses (and have had no changes in your finances), you will not need to re-a . . .

Mar, 12 2025 — 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 . . .

Apr, 09 2025 — No for most Extra Help recipients.  In most cases, there are no Medicare Part D plans that are totally "free" to low-income Medicare beneficiaries, but there are plans with a $0 (or low) monthly . . .

Feb, 03 2025 — 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 . . .

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 . . .

Feb, 26 2025 — It depends on your Medicare plan.  If you have Medicare and full Medicaid coverage or are otherwise eligible for the Medicare Part D Extra Help or the Low-Income Subsidy (LIS) program, your abili . . .

Aug, 03 2024 — 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 Supplement . . .

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) . . .

Feb, 22 2025 — Not always.  If you are "Dual Eligible", qualifying for both Medicare and Medicaid, you will automatically qualify for the Medicare Part D Low-Income Subsidy (LIS) or Extra Help program. If . . .

Feb, 17 2025 — In some cases.   If you are eligible for both Medicare and Medicaid or Medicare Part D Extra Help, you are granted a Special Enrollment Period and can change Medicare Part D prescription dru . . .

Nov, 13 2024 — No.  You are not responsible for a late-enrollment penalty (LEP) if you  become eligible for the Medicare Part D Extra Help or Low-Income Subsidy (LIS) program. However, you may still be . . .

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 . . .

Aug, 03 2024 — 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 does not have supplemental Part D coverage, then your Medicare Part D plan premium w

Apr, 09 2025 — No for most Extra Help recipients.  In most cases, there are no Medicare Part D plans that are totally "free" to low-income Medicare beneficiaries, but there are plans with a $0 (or low) monthly . . .

Mar, 19 2025 — There are a few reasons why you are still paying a monthly Medicare Part D plan premium even though you are qualified for both Medicaid and Medicare or just qualified for Medicare Part D Extra Help b . . .

Mar, 12 2025 — As noted by the Social Security Administration, the Qualified Disabled Working Individuals (QDWI) program is a Medicare Savings Program that is for people who are under the age of 65, disabled, and no . . .

Mar, 12 2025 — 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 . . .

Mar, 12 2025 — 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, . . .

Mar, 12 2025 — SLMB or "Specified Low-Income Medicare Beneficiary" is a person qualifying for a type of Medicare Savings Program (MSP) designed for people with limited monthly income and resources (assets). Quali . . .

Mar, 12 2025 — 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 . . .

Feb, 26 2025 — Yes. State Pharmacy Assistance Program (SPAPs) must provide assistance to people eligible for Medicare prescription drug coverage regardless of which Medicare drug plan they join.

Feb, 26 2025 — It depends on your financial status.  If you have been approved for financial "Extra Help" with your Medicare Part D expenses (and have had no changes in your finances), you will not need to re-a . . .

Feb, 26 2025 — It depends on your Medicare plan.  If you have Medicare and full Medicaid coverage or are otherwise eligible for the Medicare Part D Extra Help or the Low-Income Subsidy (LIS) program, your abili . . .

Feb, 22 2025 — Not always.  If you are "Dual Eligible", qualifying for both Medicare and Medicaid, you will automatically qualify for the Medicare Part D Low-Income Subsidy (LIS) or Extra Help program. If . . .

Feb, 22 2025 — 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.  And the Medicare Pa . . .

Feb, 17 2025 — In some cases.   If you are eligible for both Medicare and Medicaid or Medicare Part D Extra Help, you are granted a Special Enrollment Period and can change Medicare Part D prescription dru . . .

Feb, 07 2025 — 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 . . .

Feb, 03 2025 — 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, 27 2025 — You have two options: You can select a new Medicare Part D plan that covers all of your medications. Medicaid and "Extra Help" recipients may be able to use the Dual-Eligible Special Enrollment P . . .

Jan, 26 2025 — 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, 15 2024 — 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, 13 2024 — No.  You are not responsible for a late-enrollment penalty (LEP) if you  become eligible for the Medicare Part D Extra Help or Low-Income Subsidy (LIS) program. However, you may still be . . .

Aug, 03 2024 — 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 Supplement . . .