FAQ Friday: Extra Help with Part D
First, I would like to start with our office cannot make the determination if you qualify for extra help. We can answer any questions you have but when it comes to extra help, your best resource is going to be Social Security.
If you have limited income and resources, you may qualify for help to pay for some health care and prescription drug costs. Extra Help is a Medicare program to help people with limited income and resources pay Medicare prescription drug costs. If you qualify for Extra Help and join a Medicare drug plan, you’ll get help paying your Medicare drug plan’s costs, you will not go into the Coverage Gap (Donut Hole) and you’ll pay no late enrollment penalty fee.
You may qualify for Extra Help if your yearly income and resources are below these limits in 2018:
- Single Person-you must make less than $18,210. If you have other resources, you must make less than $14,100.
- Married person living with spouse and no other dependents-you must make less than $24,690. If you have other resources, you must make less than $28,150.
If you want to find out if you qualify for extra help it’s pretty simple. Normally, you are automatically enrolled based on your income but I recommend that you not depend on that. There are a couple resources that you can apply:
- Visit socialsecurity.gov/i1020 to apply online.
- Call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778.
When you qualify for extra help on your Part D drug plan, what it will do depending on the level of Extra Help you receive, it will lower your monthly premium on your Part D drug plan and it will also reduce your co-pays for your prescriptions (for generics you’ll pay no more than $3.40 per script and for brand-name medications you’ll pay no more than $8.50 per script). As far as the Coverage Gap, you will receive more subsidy funding so you’ll never have to worry about going into the Coverage Gap.
If you have any questions, please give our office a call at 1-855-368-4717 or visit one of our pages: