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Latest Medicare News on Medicaid, LIS, & Extra Help

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Category: Medicaid, LIS, & Extra Help

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2017 Federal Poverty Level Guidelines (FPL): 2017-2018 LIS Qualifications and Benefits
The 2017 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" pro ...

2017 Low-Income Subsidy Benchmark Premium Amounts (includes 2017 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2017 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 29, 2016.  In 2017, ten (10) states wi ...

2016 Federal Poverty Level Guidelines (FPL): 2016-2017 LIS Qualifications and Benefits
The 2016 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" pro ...

Medicaid "Spend Down" and Medicare Part D
People with Medicare who are also eligible for Medicaid because of high medical expenses can get Medicare prescription drug coverage no matter if they are in the Original Medicare Plan or a Medicare A ...

2015 Low-Income Subsidy Benchmark Premium Amounts (includes 2015 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2015 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 31, 2014. The benchmark is the maximum m ...

2013 Low-Income Subsidy Premium Benchmark Amounts (includes 2013 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) has released the 2013 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on August, 6, 2012.  This is the maximum mon ...

2012 Low-Income Subsidy Premium Amounts (includes 2011 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) has released the 2012 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans.  This is the maximum monthly premium that w ...

2016 Low-Income Subsidy Benchmark Premium Amounts (includes 2016 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2016 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 29, 2015.  In 2016, eleven (11) states ...

2014 Low-Income Subsidy Benchmark Premium Amounts (includes 2014 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) has released the 2014 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on August, 7, 2013.  This is the maximum mon ...

CMS Press Release: Medicaid Spending Projected To Rise Much Faster Than The Economy
For Immediate Release: Friday, October 17, 2008 Contact: CMS Office of Public Affairs202-690-6145 ...

. Latest Items in Category


2017 Federal Poverty Level Guidelines (FPL): 2017-2018 LIS Qualifications and Benefits
The 2017 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" pro ...

I am qualified for Medicaid and receive full Medicare Part D Extra Help, so why is my 2016 Medicare drug plan charging me a $3.80 premium in 2017?
Your chosen 2016 Medicare Part D plan no longer qualifies for your state's full-benefit LIS $0 monthly premium in 2017. For example, the 2016 Florida AARP MedicareRx Saver Plus (PDP) plan qualified ...

Extra Help Update: The 2016 / 2017 CMS, SSA, and Medicare plan mailings schedule is online
The 2016 / 2017 mailings schedule from the Centers for Medicare and Medicaid Service (CMS), the Social Security Administration (SSA), and Medicare plans mailings schedule is now online and includes th ...

2017 Low-Income Subsidy Benchmark Premium Amounts (includes 2017 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2017 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 29, 2016.  In 2017, ten (10) states wi ...

2016 Federal Poverty Level Guidelines (FPL): 2016-2017 LIS Qualifications and Benefits
The 2016 Federal Poverty Level (FPL) Guidelines determine the income level requirements for people applying for the Medicare Part D Low Income Subsidy (LIS) program, also known as the "Extra Help" pro ...

I am qualified for Medicaid and receive full Medicare Part D Extra Help, so why is my drug plan charging me an $11 monthly premium?
Your chosen Medicare Part D prescription drug plan exceeds your state's Medicare Part D $0 benchmark premium. If you are qualified for full Extra Help or the Medicare Part D Low-Income Subsidy (LIS ...

Q1Group analysis of the 2014 to 2016 decline of Medicare Part D plans qualifying for the Low-Income Subsidy (LIS) $0 premium
As can be seen in our earlier article, "Q1Group 2016 PDP Landscape Analysis: fewer Medicare Part D plans qualifying for the $0 Low-Income Subsidy (LIS) premium in 2016", the number of LIS $0 premium q ...

Q1Group 2016 PDP Analysis: fewer Medicare Part D plans qualifying for the $0 Low-Income Subsidy (LIS) premium in 2016
Based on the recently released Centers for Medicare and Medicaid Services (CMS) 2016 Medicare Part D landscape data, fewer unique 2016 Medicare Part D plans qualify for the state’s Low-Income ...

The 2015 / 2016 CMS, SSA, and Medicare plan mailings schedule is online
The 2015 / 2016 schedule of mailings from CMS, SSA, and Medicare plans mailings schedule is now online and includes the different form-letters sent to Medicare Part D Extra Help recipients or people q ...

2016 Low-Income Subsidy Benchmark Premium Amounts (includes 2016 - 2006 for comparison)
The Centers for Medicare and Medicaid Services (CMS) released the 2016 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 29, 2015.  In 2016, eleven (11) states ...


Back To News Home . Browse All (33) Items in Category




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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • 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.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • 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.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.