Click above for details

Extra Help is a federal benefit from the Social Security administration.

*NOTE: You do NOT need to receive State Medicaid assistance or SSI (Supplemental Security Income) to qualify for Extra Help.

Here’s how Extra Help can help you:

  • It will reduce copays for prescription drugs
  • It may pay some or all of your prescription drug plan premium
  • It may pay some of the Medicare Advantage plan premium
  • It may eliminate annual deductible required with some prescription drug plans
  • It will eliminate Part D Late Enrollment penalty (if you are subject to a penalty)
  • If you have Extra Help, you are not subject to the Part D Coverage Gap (aka Donut Hole)

Extra Help is also known as the Part D Low-Income Subsidy (LIS), the extra value can be worth about $5,300 every year. Many people qualify for these savings and don’t even know it!

What is the income limit?

To qualify for Extra Help, your annual income must be limited to $21,870 for an individual or $29,580 for a married couple living together. Even if your annual income is higher, you may still be able to get some help.

You must be enrolled in a Medicare Part D prescription drug plan (this also includes the prescription drug coverage included in a Medicare Advantage plan).

If you aren’t getting Extra Help, you can see if you qualify by calling:

  • U.S. Centers for Medicare & Medicaid Services
    (TTY: 1-877-486-2048)
    24 hours a day, seven days a week
  • Your State Medicaid Office
  • The Social Security Administration
    (TTY: 1-800-325-0778)
    Monday – Friday 7 am – 7 pm

Or you can apply for EXTRA HELP by clicking blue button below:

You should complete the online application above for Extra Help if:

  • 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 $33,240 if you are married and living with your spouse, or $16,660 if you are not 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.) 

    Resources you would count are:
    • Real estate (other than your primary residence)
    • Bank accounts including checking, savings and certificates of deposit
    • Stocks
    • Bonds, including U.S. Savings Bonds
    • Mutual funds
    • Individual Retirement Accounts (IRAs)
    • Cash at home or anywhere else

* IMPORTANT: Even if you meet these conditions, DO NOT complete this application if you have Medicare and Supplemental Security Income (SSI) or Medicare and Medicaid because you automatically will get the Extra Help.