Part D Extra Help Program for Medicare Beneficiaries

The Extra Help program is a federal initiative designed to assist Medicare beneficiaries with the costs associated with prescription drugs under Medicare Part D. This program, also known as the Low-Income Subsidy (LIS), offers several benefits.

• Premium Coverage: Extra Help pays for the Medicare Part D premium, up to a state-specific benchmark amount.
  
  
• Lower Prescription Costs: It reduces the cost of prescription drugs, making medications more affordable for beneficiaries.
  
  
• No Premium for Basic Plans: Beneficiaries with a basic Part D plan that has a premium at or below the Extra Help limit pay no premium. Enhanced plan holders may still owe a premium even if the plan's premium is below the benchmark.
  
  
• Elimination of Late Enrollment Penalty: The program eliminates any Part D late enrollment penalty for those who qualify.
  
  
• Special Enrollment Periods: It provides Special Enrollment Periods throughout the year, allowing beneficiaries to enroll in or switch Part D plans.

Eligibility Criteria

• Automatic Enrollment: Beneficiaries receiving Medicaid, Supplemental Security Income (SSI), or enrolled in a Medicare Savings Program are automatically enrolled in Extra Help.
  
  
• Income and Asset Limits: Other beneficiaries can qualify based on limited income and assets, specifically if their income is below $1,903 per month for individuals or $2,575 for couples.

Application Process

Eligible individuals can apply online through the Social Security Administration (SSA).

Extra Help significantly reduces the financial burden of prescription drugs for Medicare beneficiaries, ensuring they can access necessary medications without excessive costs. For detailed information and to apply, beneficiaries can visit the SSA website.

Additional Details
https://www.medicare.gov/basics/costs/help/drug-costs