Extra Financial Help


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People with limited incomes may qualify for extra help to pay for their prescription drug costs. If you qualify, Medicare could pay for 75% or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify won't have a coverage gap or a late enrollment penalty. Many people are eligible for these savings and don't even know it.


To learn if you qualify for extra help, contact:


Medicare
1-800-MEDICARE (1-800-633-4227)
Hearing or speech impaired 1-877-486-2048
24 hours a day, 7 days a week


or


Social Security Administration
1-800-772-1213
Hearing or speech impaired 1-800-325-0778
7 a.m. – 7 p.m., Monday – Friday


You can also apply for extra help online at www.socialsecurity.gov/prescriptionhelp .

Best Available Evidence Policy

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 that allows you to provide to us the best‐available evidence (BAE) of your proper cost‐share level. Please refer to the Evidence of Coverage document for Centers for Medicare & Medicaid Services to get more information.

Best Available Evidence Policy

Low Income Subsidy Premium

If you qualify for extra help, you'll get a Low Income Subsidy (LIS) rider telling you how much help you'll get towards your drug plan premium, deductible, and copayments.


As a member of our Plan, you will receive the same coverage as someone who is not getting extra help. Your membership in our Plan will not be affected by the extra help. This also means that you must follow all the rules and procedures in the Evidence of Coverage. You must also continue to pay your Medicare Part B premium.


Low Income Subsidy Premium - English


Low Income Subsidy Premium - en Español