You Could Get Extra Help Paying for Medicare Part D Drug CostsAugust 25, 2017
Do you have Medicare and find it hard to pay for the medications you need? You or someone you care for may be among the many Medicare Part D participants on fixed incomes who face difficult decisions about money and spending. That’s why it’s important to know: Extra Help is available to those who qualify.
- Extra Help Is a Federal Program That Helps Participants Pay for Medicare Drug Costs
Many people over 65 are surprised to hear they may be eligible for a low-income subsidy program that provides financial assistance. Also known as the Extra Help Medicare Part D program. It can help pay prescription drug monthly payments, deductibles and copayments.
The Social Security Administration and Medicare work together to offer the Extra Help program and provide Medicare Part D assistance by controlling drug program out-of-pocket expenses. And the savings can really make a difference. According to Social Security, participants who qualify for the federal Extra Help program could save up to $4,000 a year in prescription drug costs.
- Here’s How You Can Save on Medicare Part D With Extra Help
The Extra Help program makes it possible for participants to pay:
- $0 or a very low amount on monthly premiums for Medicare Part D.
- $0 or a very low amount on a yearly deductible for prescription medications.
- No more than $3.30 generic/$8.25 brand-name copayments or 5% coinsurance for each covered prescription in 2017.
Also, participants who are eligible for Extra Help can enroll in Medicare Part D at any time without facing late enrollment penalties.
- It’s Easy to Find Out If You’re Eligible for Extra Help
To qualify for Extra Help, a person must be receiving Medicare and currently have or sign up for a Part D plan, have limited resources and income, and reside in one of the 50 states or the District of Columbia.
Most qualified participants' annual income and financial resources (including savings accounts, IRA accounts, stocks, and bonds) are limited to levels specified by Social Security. For 2017, these limits are:
- $18,090 in yearly income and up to $13,820 in assets for an individual.
- $24,360 in yearly income and up to $27,600 in assets for a married person living with a spouse.
There are some exceptions, however, and some people with higher incomes still might qualify — so it’s smart to check with Social Security.
Remember, even if you don’t qualify for Extra Help, you can still enroll in an approved Medicare prescription drug plan for coverage to help you manage Medicare costs.
Anthem Blue Cross Life and Health Insurance Company is a PDP plan with a Medicare contract. Enrollment in Anthem Blue Cross Life and Health Insurance Company depends on contract renewal. Anthem Blue Cross Life and Health Insurance Company (Anthem) has contracted with the Centers for Medicare & Medicaid Services (CMS) to offer the Medicare Prescription Drug Plans (PDPs) noted above or herein. Anthem is the state-licensed, risk-bearing entity offering these plans. Anthem has retained the services of its related companies and authorized agents/brokers/producers to provide administrative services and/or to make the PDPs available in this region. Anthem Blue Cross Life and Health Insurance Company is an independent licensee of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.
Anthem Blue Cross is an HMO plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal. Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.
Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.
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