Remember: The Medicare Part D Extra-Help or Low-Income Subsidy program helps pay both your monthly Medicare prescription drug plan premiums and Medicare Part D drug costs. People who qualify for Medicaid automatically qualify for Medicare Part D Extra Help.
Qualifying for full-LIS benefits:
If your income is below 135% of the FPL ($17,226 if you are single or $23,274 for married couples), you could qualify for the full Low-Income Subsidy (resource limits also apply - see charts below).
Please notice that different income levels apply to LIS benefits for residents of Alaska and Hawaii -- please see the charts below.
Qualifying for Partial-LIS benefits:
Even if you do not qualify for full-LIS benefits, you might be eligible for partial-LIS benefits if your income level is at or below 150% FPL (resource limits also apply - see charts below).
Applying for the Medicare Part D Extra Help program:
To apply for Extra Help go to: https://secure.ssa.gov/i1020/start. You could receive Extra Help for the remainder of 2020, even if your income or assets no longer meet the requirements later in the year.
2020 Federal Poverty Level (FPL) Guideline Tables
-
48 States and the District of Columbia
2020 Federal Poverty Level (FPL) Guideline TableFamily Size 100% 135% 140% 145% 150% 1 $12,760 $17,226 $17,864 $18,502 $19,140 2 $17,240 $23,274 $24,136 $24,998 $25,860 3 $21,720 $29,322 $30,408 $31,494 $32,580 4 $26,200 $35,370 $36,680 $37,990 $39,300 5 $30,680 $41,418 $42,952 $44,486 $46,020 6 $35,160 $47,466 $49,224 $50,982 $52,740 7 $39,640 $53,514 $55,496 $57,478 $59,460 8 $44,120 $59,562 $61,768 $63,974 $66,180 9 $48,600 $65,610 $68,040 $70,470 $72,900 10 $53,080 $71,658 $74,312 $76,966 $79,620 Additional $4,480 $6,048 $6,272 $6,496 $6,720 2020 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,360 (individuals) or < $14,800 (couples)*
See resource and income level premium benefits in the charts below.
For more information and to learn more about:
- The Extra-Help program on this site
- The resource limits and co-payment benefits for the full Low-Income Subsidy: 2020, and
- The resource limits and benefits for the partial Low-Income Subsidy: 2020
- The Extra-Help program on this site
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Alaska
2020 Federal Poverty Level (FPL) Guidelines TableFamily Size 100% 135% 140% 145% 150% 1 $15,950 $21,533 $22,330 $23,128 $23,925 2 $21,550 $29,093 $30,170 $31,248 $32,325 3 $27,150 $36,653 $38,010 $39,368 $40,725 4 $32,750 $44,213 $45,850 $47,488 $49,125 5 $38,350 $51,773 $53,690 $55,608 $57,525 6 $43,950 $59,333 $61,530 $63,728 $65,925 7 $49,550 $66,893 $69,370 $71,848 $74,325 8 $55,150 $74,453 $77,210 $79,968 $82,725 Additional $5,600 $7,560 $7,840 $8,120 $8,400 2020 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,360 (individuals) or < $14,800 (couples)*
See resource and income level premium benefits in the charts below.
-
Hawaii
2020 Federal Poverty Level (FPL) Guidelines TableFamily Size 100% 135% 140% 145% 150% 1 $14,680 $19,818 $20,552 $21,286 $22,020 2 $19,830 $26,771 $27,762 $28,754 $29,745 3 $24,980 $33,723 $34,972 $36,221 $37,470 4 $30,130 $40,676 $42,182 $43,689 $45,195 5 $35,280 $47,628 $49,392 $51,156 $52,920 6 $40,430 $54,581 $56,602 $58,624 $60,645 7 $45,580 $61,533 $63,812 $66,091 $68,370 8 $50,730 $68,486 $71,022 $73,559 $76,095 Additional $5,150 $6,953 $7,210 $7,468 $7,725 2020 Eligible for QMB/SLMB/QI, SSI or applied and income at or below 135% FPL and resources < $9,360 (individuals) or < $14,800 (couples)*
See resource and income level premium benefits in the charts below.
Learn more about:
- The Extra-Help program.
- The resource limits and co-payment benefits for the full Low-Income Subsidy: 2020, and
- The resource limits and benefits for the partial Low-Income Subsidy: 2020
2020 Premium Subsidy Resource/Income Limits for Individuals
| Individual’s Countable Resources* | Individual’s Countable Income | Amount of the Premium Subsidy |
|---|---|---|
| $7,860 or less | At or below 135% FPL | 100% |
| $7,860.01 to $13,110 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
| $13,110 or less |
More than 135% of FPL, but at or below 140% |
75% |
| $13,110 or less |
More than 140% of FPL, but at or below 145% |
50% |
| $13,110 or less |
More than 145% of FPL, but less than 150% |
25% |
| $13,110.01 or more | Any amount | Not eligible for premium subsidy |
*NOTE: If an individual expects to use some of his or her resources for funeral or burial expenses, REDUCE the individual's countable resources by $1,500 before applying them to the chart limits. Meaning, you can take $1,500 off of your resources before determining your level of subsidy.
2020 Premium Subsidy Resource/Income Limits for Married Couples
|
Couple’s Countable Resources* |
Couple’s Countable Income | Amount of the Premium Subsidy |
|---|---|---|
| $11,800 or less | At or below 135% FPL | 100% |
| $11,800.01 to $26,160 | At or below 135% FPL | 100% but less help with co-pays or deductibles |
| $26,160 or less |
More than 135% of FPL, but at or below 140% |
75% |
| $26,160 or less |
More than 140% of FPL, but at or below 145% |
50% |
| $26,160 or less |
More than 145% of FPL, but less than 150% |
25% |
| $26,160.01 or more | Any amount | Not eligible for premium subsidy |
To review co-payments for both Full- and Partial-LIS, select the year-related link below:
2020 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL2019 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2018 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2017 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2016 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2015 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2014 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL
2013 LIS Copayment Benefits: 100% FPL 135% FPL 150% FPL