Remember, Extra Help reduces your prescription drug costs only for drugs covered by your Part D plan. If you do not have a Part D plan but are eligible for Extra Help, you can use the Special Enrollment Period (SEP) to enroll in Part D drug coverage. If your application for Extra Help is denied, you can appeal to SSA.

Extra Help benefits. The Extra Help program (also called the Part D Low-Income Subsidy) offers the following benefits: Pays for your Part D premium up to a state-specific benchmark amount; Lowers the cost of your prescription drugs; Gives you a Special Enrollment Period (SEP) once per month to enroll in a stand-alone Part D plan.

You no longer have Medicaid, SSI, or an MSP in the fall, you should apply for Extra Help. If you do not apply, your Extra Help ends December 31. You should receive a letter in the fall explaining that you will lose Extra Help, along with an application and postage-paid envelope. You may also choose to apply for Extra Help online. If you applied ...

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Example: Mr. S has Extra Help and a monthly income above $1,325. His Extra Help copays are $4.90 for generics and $12.15 for brand-name drugs. His plan copay for generics is $1.25, so Mr. S will pay the plan copay of $1.25 because it is cheaper than the Extra Help copay of $4.90.

The Pre-Decisional Notice explains that you may not be eligible for Extra Help and why you will be denied (for example, the monthly income you reported in your application is over the limit). If you think that SSA’s rejection is based on incorrect information, you can correct your application.

2023年6月5日 · Remember that Extra Help is not a replacement for Part D or a plan on its own, though. You must still have a Part D plan to receive Medicare prescription drug coverage and Extra Help assistance. If you do not choose a plan and you apply and qualify for Extra Help, you will in most cases be enrolled into one. If you think you may be eligible, I ...

If you have Extra Help and do not choose a Part D plan, Medicare will automatically enroll you in a benchmark Part D plan. Benchmark Part D plans have a premium below the specified amount for your state, which means that Extra Help will pay the full cost of your Part D premium. Medicare will send you a notice telling you which plan it enrolled ...

Extra Help, also known as the Part D Low-Income Subsidy (LIS), is a federal program administered by Social Security that helps pay for some to most of the out-of-pocket costs of Medicare prescription drug coverage, including coinsurances, deductibles, and premiums.

Additionally, you will automatically get Extra Help, the federal program that helps with Part D prescription drugs costs. Each MSP program also offers separate benefits. Remember, you cannot choose to apply for a certain MSP: you will be enrolled in the MSP that corresponds to your income, assets, and other application details.