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Understanding the Medicare Part D Extra Help Program

The Medicare Part D Extra Help Program, also known as the Low-Income Subsidy (LIS), is a valuable resource for Medicare beneficiaries who need assistance with their prescription drug costs. This program is designed to help eligible individuals pay for their Medicare prescription drug plan premiums, deductibles, and copayments.

Eligibility and Benefits

To qualify for the Extra Help Program, individuals must:

  • Be enrolled in Medicare Part A and/or Part B

  • Live in one of the 50 U.S. states or the District of Columbia

  • Have limited income and resources

The program offers significant financial assistance, including:

  • Reduced or eliminated monthly premiums for prescription drug plans

  • Lower or waived annual deductibles

  • Decreased copayments for prescription medications

Application Process

Applying for the Extra Help Program is straightforward:

  1. Visit the official Social Security Administration website at https://secure.ssa.gov/i1020/start

  2. Complete the online application form

  3. Provide necessary information about income, resources, and household size

It's important to note that individuals who receive Supplemental Security Income (SSI) or have both Medicare and Medicaid are automatically enrolled in the Extra Help Program and do not need to apply separately.

Additional Assistance

For those who need help completing the application or have questions about the program:

  • Call the Social Security Administration toll-free at 1-800-772-1213 (TTY 1-800-325-0778)

  • Contact is available Monday through Friday, from 7 AM to 7 PM

Medicare Savings Programs

When applying for the Extra Help Program, applicants are also considered for Medicare Savings Programs. These state-run programs can provide additional assistance with other Medicare costs.

Seeking Professional Guidance

Navigating Medicare benefits and programs can be complex. For personalized assistance with the Medicare Part D Extra Help Program or other healthcare needs, consider contacting healthcare professionals. Innovative Urgent Care offers expert guidance and support for various healthcare matters. To schedule an appointment or speak with a friendly team member:

Our clinicians are available for in-person and virtual consultations, ensuring you receive the support you need to make informed decisions about your healthcare and benefits.