Help Paying for Prescription Drugs

If you or your loved one have limited income and resources, you could be eligible to get Extra Help with the costs related to a Medicare Prescription Drug Plan. You must be enrolled in a Medicare Prescription Drug Plan to get this Extra Help.

What Qualifies You for Extra Help?

  • You must have Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance);
  • You must live in one of the 50 States or the District of Columbia; and
  • Your combined savings, investments and real estate must not be worth more than $27,250, if you are married and living with your spouse, or $13,640 if you are not currently married or not living with your spouse (your home, vehicles, personal possessions, life insurance, burial plots, irrevocable burial contracts or back payments from Social Security or SSI are excluded from this total amount).

Automatic Qualification for Extra Help Looks Like This:

You qualify for Medicaid
OR
Belong to a Medicare Savings Program
OR
Get Supplemental Security Income (SSI) benefits

There are Three Ways to Apply for Extra Help:

  1. Apply online at Social Security;
  2. Apply over the phone or request an application by calling Social Security 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
  3. Apply in person at your local Social Security office.

After you apply, Social Security will review your application and send you a letter to let you know if you qualify for Extra Help. And, if you do, you can choose a Medicare Prescription Drug Plan. If you do not select a plan, the Centers for Medicare & Medicaid Services (CMS) will do it for you. The sooner you join a plan, the sooner you begin receiving benefits.

If you qualify for Extra Help but your plan has not been notified by the Centers for Medicare & Medicaid Services, you can show certain documents to your pharmacy and pay a reduced copay.

More Information About Extra Help

Centers for Medicare and Medicaid Services (CMS) Best Available Evidence Information

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