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How can I get financial "Extra Help" with my Medicare Part D prescription drug costs?

Category: Extra Help - LIS - Medicaid
Updated: Jul, 20 2023
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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 and 7 pm and a Social Security Administration representative can then help you get the proper forms so that you can apply for the Extra Help program (TTY/TDD users should call 1-800-325-0778).  You can also visit a local Social Security office to learn more about the Medicare Part D Extra help program.

  • You can also apply for Extra Help online at:  www.socialsecurity.gov/i1020 and you can learn more about the Extra Help program on the Social Security Administration website:  ssa.gov/prescriptionhelp

  • You can also contact or visit your local state Medicaid office and ask for assistance with applying for Extra Help - and remember that each state may offer slightly different benefits.

    Here is the Medicare link for finding your state Medicaid office:  www.medicare.gov/talk-to-someone  
    Once you contact the state Medicaid office, please explain your situation to a Medicaid representative and ask the representative for assistance.

  • Remember, the Federal Poverty Level Guidelines (FPL) are used to determine your Medicare Part D Extra Help or Low-Income Subsidy (LIS) qualifications and benefits.  The Federal Poverty Level Guidelines change every year and you can find the 2023 FPL information here: Q1News.com/395

  • We also have information online about the Medicare Part D Extra Help program here: q1medicare.com/PartD-Financial-Assistance-by-Medicaid.php and you can click on the following link to see the annual income guidelines



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  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
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  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
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