LIS – Low Income Subsidy?  Extra Help


What help can I receive if I can’t afford all my Prescriptions?

The Low-Income Subsidy (LIS) program helps pay for a portion of Part D prescription drug plan costs, including Part D premiums, deductibles and copayments. Depending on your income and assets, you may qualify for the full subsidy or a partial subsidy. All beneficiaries who qualify for the LIS program are permitted to change Part D plans once a month at anytime during the year. CA Health Care Advocates The full Low-Income Subsidy (LIS) program covers the premium and deductible of benchmark plans. This means you do not pay a premium or deductible if you receive the full LIS benefit and enroll in a benchmark plan. You are, however, still responsible for copayments of $2.95-$7.40 for each covered prescription. CA Health Care Advocates

The Social Security LIS Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.

SSA.Gov Prescription Help

What help can I receive?

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.

Apply for Extra Help With Medicare Prescription Drug Plan Costs

Trouble Paying Rx Prescription Drugs # 11318?  3 fold flyer

Understanding Extra Help Publication # 10508

Your Guide to Medicare Prescription Drug Coverage – Scroll down or it’s on your right, then go to page 74 

Qualifications to get Extra Help

  • You have Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance); and
  • You live in one of the 50 States or the District of Columbia; and
  • Your combined savings, investments, and real estate are not worth more than $29,160, if you are married and living with your spouse, or $14,610 if you are not currently married or not living with your spouse.
    • (Do NOT count your home, vehicles, personal possessions, life insurance, burial plots, irrevocable burial contracts or back payments from Social Security or SSI.)
  • Your annual income must be limited to $19,140 for an individual or $25,860 for a married couple living together. Even if your annual income is higher, you may still be able to get some help.
    • Some examples where your income may be higher and you can still get Extra Help include if you or your spouse:
      • Support other family members who live with you.
      • Have earnings from work.
      • Live in Alaska or Hawaii.
  • EXCEPTION:  If you have Medicare and Supplemental Security Income (SSI) or Medicare and Medicaid [Medi-Cal] you automatically will get the extra help.   Publication 10525 * Social Security ONLINE Application for Extra Help  *  Publication 10508 Understand 

Medicare and You 2020 #10050  
Everything you want to know 

Different Parts of Medicare - Video

A = Hospital
B = Doctor Visits - Out Patient
C = Medicare Advantage or Medi Gap
D = Part D Rx

Understanding your Medicare Choices
Medi Gap vs Medicare Advantage

Topics

How to sign up for Parts A & B
Is  your test, service, or item covered?
Original Medicare Parts A & B
Medicare Advantage Plans & Part D Rx
Supplement Insurance (Medigap)
Low Income Help  LIS
Definitions


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Links  &  Resources

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Medicare & You 10050 Page 95

CA Health Advocates.org on LIS

Hi Cap Medicare Counseling ca health advocates.org/hicap/

Federal Poverty Level Chart

CMS.gov LIS Outreach Toolkit

4 Ways to Help Lower your Medicare Prescription Drug Costs # 11417

LA Times 8.10.2014 Tips to save $$$

Jewish Free Loan Assoc.

Google Ad Sense




4 comments on “Part D Rx Low Income Subsidy – LIS – Extra Help

  1. The “Extra Help” part of my disabled wife Linda’s Prescription Drug Plan PDP is a big deal to us.

    Not only does it cover the deductible, but the co-pays on Linda’s specialty drugs (Keppra, Lamictal) can be costly, and the extra help wipes this out.

    But, I have no idea what allows her to qualify for this, and I’d like to understand how to ensure she gets this benefit in the future?

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