To qualify for “Extra Help”, you must:
- Live in the United States
- Be enrolled in or eligible for a Part D prescription drug plan
- Meet the income limit
- Meet the resource limit
Also known as the Part D Low Income Subsidy (LIS), “Extra Help” is estimated to be worth about $5,300 per year.1 Here’s a look at who qualifies, the benefits and how to apply.
To qualify for “Extra Help”, you must:
In most cases, your income and resources must be below a certain limit to qualify for “Extra Help.” The limits for 2023 are:2
Income refers to how much money you (and your spouse if you’re married) make in a calendar year.
Resources include the value of the things you own. Some examples include:
“Extra Help” supports people who are on Medicare and also qualify for their state’s Medicaid program. 2024 benefits include:
Once your out-of-pocket costs reach $8,000, you’ll pay $0 for each covered drug.
In addition to lower out-of-pocket costs, “Extra Help” gives you:
Some people automatically qualify for “Extra Help” and others have to apply. You'll automatically receive “Extra Help” if you get:4
If you don’t automatically qualify for “Extra Help”, you can apply through the Social Security Administration in 3 ways:
Note: If you don’t qualify for “Extra Help” now, you can reapply at any time if your income and resources change.
“Extra Help” can help pay for all or most of your monthly Medicare premiums and
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