I'm on a fixed income and struggling to afford my medications. What's this Extra Help program I've heard about for Medicare Part D?

Answered by 14 licensed agents

Extra Help is made available to lower income seniors on Medicare that require financial assistance to pay for their prescription drug costs. This may include: premium, deductibles, copays, etc. You must meet certain income requirements to qualify for this program and you can contact your local Medicare Agent or your local SSA office.

Answered by Maureen McKenna on April 3, 2025

Agent Licensed in CA, AZ, CO & 19 other states

Answered by Maureen McKenna Medicare Insurance Agent
Check with your state Social Security office to apply for the Extra Help program. Applying to Medicaid may also be an option.

Answered by William Lawler on April 23, 2025

Broker Licensed in MO, FL, IA & 12 other states

Answered by William Lawler Medicare Insurance Agent
In 2025, single tax filers making up to $ 1,976 monthly gross income with no more than $ 17,600 in assets (couples: $ 2,665 / $ 35,130) should qualify for Extra Help for Medicare Part D also referred to as LIS (Low Income Subsidy). To apply for help, go to ssa.gov/extra help, call Social Security at 800.772.1213, or call your local SS office. Walk in traffic is not recommended.

Answered by Clarence "Mark" Christiansen on April 3, 2025

Agent Licensed in WI, AZ, CA & 16 other states

Answered by Clarence "Mark" Christiansen Medicare Insurance Agent
It is through Social Security & also called Low Income Subsidy, or Extra Help. Please call Social Security at 18007721213 or call a Broker. I/We have assisted Medicare Beneficiaries in more than 1 State to apply. You can also go to www.socialsecurity.gov to apply.

You could call your Insurance Company on your Part D Policy & get information on the Monthly Payment Plan that is new in 2025. Thank you.

Plans are insured or covered by a Medicare Advantage (HMO, PPO and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Answered by Andrew Zurbuch, MBA on June 20, 2025

Broker Licensed in IN, FL, KY, MO, OH & TN

Answered by Andrew Zurbuch, MBA Medicare Insurance Agent
If you meet certain criteria related to assets and income you may qualify for reduced medications. A knowledgeable broker such as myself should be able to help you explore those limits. The application itself, which can be submitted by your broker on your behalf, usually only takes a few minutes to complete.

Answered by Charles Fletcher on April 4, 2025

Agent Licensed in WA, AZ, ID, NV & TN

Answered by Charles Fletcher Medicare Insurance Agent
You can apply for extra help Medicare Part D by going to www.ssa.gov. There you will see an option for "Medicare." Then select "Apply for Part D extra help." The process is very quick and easy. If you need assistance, I would love to be of service.

Answered by Kelsey Hentzen on May 13, 2025

Broker Licensed in KS & MO

Answered by Kelsey Hentzen Medicare Insurance Agent
Extra Help, also referred to as LIS (Low Income Subsidy), is one of several MSPs (Medicare Savings Programs) that are available to individuals that fall within certain income limits.

If you qualify for Extra Help/LIS, you will receive help on the cost of your Medicare Part D (Prescription Drug Plan) premiums, copays for your medications, and the waiving of any Medicare Part D LEPs (Late Enrollment Penalties) you may currently be incurring.

Certain individuals will receive a letter from Social Security Administration informing them that they automatically qualify for Extra Help, where others will need to apply.

You can view information, income limits and also apply if you fall in/under said income limits by following this link here: https://www.medicare.gov/basics/costs/help/drug-costs

Answered by Steve Thurmond on April 23, 2025

Broker Licensed in TN, AK, AL & 35 other states

Answered by Steve Thurmond Medicare Insurance Agent
Extra Help, also know as Low Income Subsidy is a program from Social Security that helps eligible individuals with the cost of there Medications. It works with any Medicare Prescription drug plan( stand alone plans and Medicare Advantage plans with Prescription Drug coverage). To qualify in 2025 your income must be below $1,903 a month and you must have less than $9.660 in countable assets.

If you qualify you will not pay more than $4.90 for any covered Generic medication or $12.15 for any covered Brand medication. The Extra Help program will cover all cost above these copays. In addition the Extra Help program may cover a portion of your plans monthly premium.

Answered by Tom Kowalczyk on June 18, 2025

Broker Licensed in NJ, DE, FL, PA & SC

Answered by Tom Kowalczyk Medicare Insurance Agent
Contact social security. They can tell you about the extra help program and determine if you qualify. They can pay up to 75% of your medication cost and your monthly premium

Answered by Gary Henderson on June 17, 2025

Agent Licensed in TX, AK, AL & 46 other states

Answered by Gary Henderson Medicare Insurance Agent
You can apply for prescription drug assistance at ssa.gov/prescription help.

You can also apply for further assistance through health and human services or hhs.gov for your county.

Answered by Marcie Barnes on April 19, 2025

Agent Licensed in TX, AK, AL & 48 other states

Answered by Marcie Barnes Medicare Insurance Agent
It is part of the Medicare Savings Programs. Also known as as LIS - low income subsidy. You apply to see if you qualify through your local DCF or an agent can help you apply.

Answered by Carol Thompson on May 14, 2025

Broker Licensed in FL, LA, MI & NC, SC, VA & WI

Answered by Carol Thompson Medicare Insurance Agent
I can fill this out for you. Please call me at 800-891-5151 tomorrow Monday and I’ll see if you qualify

Answered by Glenn Alterman on April 20, 2025

Broker Licensed in TX, AZ, CA & FL, NJ, OH & TN

Answered by Glenn Alterman Medicare Insurance Agent
If you qualify extra help lowers the cost of most drugs. Specific costs will depend on the drug. It also lowers the cost of the monthly drug plan premium if you have Part D perscription drug plan

Answered by Robert Remin on May 19, 2025

Agent Licensed in NY, CT, FL & NJ

Answered by Robert Remin Medicare Insurance Agent
One can apply for extra help you would need to qualify by showing you are on low income in order to get the extra help and would not have to pay for Part D ( prescription drug plan)

Answered by Veronique Kasbarian on April 3, 2025

Broker Licensed in CA, AZ, ID, NV, OH & TX

Answered by Veronique Kasbarian Medicare Insurance Agent

Tags: Advice for Seniors Medicare Part D Prescription Drug

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