LI NET is a Medicare program that provides immediate prescription coverage for Medicare beneficiaries who qualify for Medicaid or ”Extra Help” and have no prescription drug coverage.
Enrollment in LI NET is temporary, usually for 1 to 2 months. As a beneficiary, this temporary coverage provides you with adequate time to choose a Medicare Part D prescription drug plan that best fits your needs. If by chance, you do not select a plan within this timeframe, Medicare will automatically enroll you into a benchmark plan.
Coverage for out-of-pocket expenses during eligible periods (retroactive coverage) is also available by submitting a direct member reimbursement form.
Eligibility requirements for the LI NET program include:
- Medicare and Part D eligibility
- Eligible for ”Extra Help,” including any of the following:
- Full-benefit dual-eligible beneficiaries: those with Medicare and full Medicaid benefits
- SSI-only beneficiaries: those with Medicare who receive Supplemental Security Income (SSI) but do not have Medicaid
- Partial-benefit dual-eligible beneficiaries: those with Medicare who qualify for Medicare Savings Programs (MSP) but not full Medicaid, i.e., QMB Only, SLMB Only and QI
- “Extra Help” applicants: those who have applied for, and have been awarded, “Extra Help” through SSA or their state
- Have no other prescription coverage, including:
- Part D plan coverage
- Retiree drug subsidy (RDS) plan
- VA coverage
- Not enrolled in a Part C plan, which does not allow concomitant enrollment in a Part D plan
- Not opted out of auto-enrollment
- Have a permanent address in the fifty States or DC
