Extra Help From Medicare
Extra Help from Medicare
You may be able to get Extra Help to pay for your prescription drug premiums and costs. The amount of Extra Help that you can get depends on your income and resources. If you qualify, you will get help paying for your Medicare drug plan's monthly premium and prescription copayments or coinsurance. Your premium generally will be lower if you receive Extra Help from Medicare.
You can qualify if you are eligible for Medicaid as well as Medicare. You also may qualify if your yearly income is less than $16,245 (single with no dependents) or $21,855 (married and living with your spouse with no dependents), and your resources are less than $12,640 (single) or $25,260 (married and living with your spouse). Resources include your savings and stocks but not your home or car. (If you live in Alaska or Hawaii, or pay at least half of the living expenses of dependent family members, income limits are higher.) These figures are for 2011 and may change for 2012.
To see if you quality for Extra Help, call:
- 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7days a week.
- 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
The LIS Premium Summary Chart tells how much your monthly premium will be (which includes medical services and prescription drug benefits) if you qualify for Extra Help. (The amounts in the chart do not include any Medicare Part B premium you may have to pay.)
If you believe you have qualified for extra help and you believe that you are paying an incorrect cost-sharing amount when you get your prescription at a pharmacy, our plan has established a process that allows you to either request assistance in obtaining evidence of your proper cost sharing level, or, if you already have the evidence, to provide this evidence to us. For additional information, please contact Capital Health Plan Member Services at one of the numbers listed on this page or see the link below for "Best Available Evidence."
Last updated: 10/01/2011
LIS Premium Summary Chart
Capital Health Plan Advantage Plus (HMO) and Capital Health Plan Preferred Advantage (HMO)
Monthly Plan Premium for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs
Last updated: 10/01/2011
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