The Federal Medicare Extra Help program also referred as the Medicare Low Income Subsidy (LIS) program, is for people with full Medicaid coverage as well as for people who are not on Medicaid but who have limited income. (See Medicare Extra Help / Low Income Subsidy (LIS)).

Medicare Low Income Subsidy (LIS) – 2021

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 $5,000 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. Speed booster cleaner unlimited and pro version download.

1. 2021 urgent care copay rates; Priority group Copay amount for first 3 visits in each calendar year Copay amount for each additional visit in the same year; Priority group: 1 to 5: Copay amount for first 3 visits in each calendar year: $0 (no copay) Copay amount for each additional visit in.
2. In 2021, drug costs for most people who qualify will be no more than $3.70 for each generic drug and $9.20 for each brand name drug. Look on the Extra Help letters you get, or contact your plan to find out your exact costs. What Counts as Income & Resources? For help comparing prescription drug plans and to learn about other programs that may.
3. Extra Help, you will need to file an. Application for Extra Help with Medicare Prescription Drug Plan Costs (Form SSA-1020). Resources and Income. What is the resource limit? Extra Help, your resources must be limited to $14,790 for an individual or $29,520 for a married couple living together.

Here are 2020 Low-Income Subsidy Copayments:

• Full Benefit Dual Eligibles Institutionalized or Receiving Home and Community-Based Services (HCBS): $0
• Full Benefit Dual Eligibles with Incomes <= 100% of Federal Poverty Level
  • Generic/Preferred Drugs: $1.30
  • Other: $4.00
  • Above Catastrophic Limit: $0.00

• Full Benefit Dual with Incomes > 100% of Federal Poverty Level & Other Full-Subsidy Eligible Beneficiaries
  • Deductible: $0
  • Generic/Preferred Drugs: $3.70
  • Other: $9.20
  • Above Catastrophic Limit: $0.00
• Beneficiaries with QMB/SLMB/QI, SSI or applied an income below 135% FPL and resources below $9,360 (individuals, 2021) and below $14,800 (couples, 2021)
  • Beneficiaries
  • Deductible: $0
  • Generic/Preferred Drugs: $3.70
  • Other: $9.20
  • Above Catastrophic Limit: $0.00
• Beneficiaries with income below 150% FPL and resources between $9,361 and $14,610 (individuals, 2021) or between $14,801 and $29,160 (couples, 2021)
  • Deductible: $92.00
  • Coinsurance to Initial Coverage Limit: 15%
  • Generics Above Catastrophic Limit: $3.70
  • Others Above Catastrophic Limit: $9.20

How to Apply?

To apply for Low Income Subsidy (LIS), complete the Social Security Application for Extra Help with Medicare Prescription Drug Plan Costs (SSA-1020).

You may do it one of three ways:

• Apply online at www.ssa.gov/extrahelp; or
• Call Social Security at 1-800-772-1213 to apply over the phone or to request an application; or
• Apply at your local Social Security office.

After you apply, Social Security will review the application and send you a letter informing whether you are qualified for Low Income Subsidy. Once you qualify, you can choose a Medicare Prescription Drug plan. If you do not select a plan, the Center for Medicare and Medicaid Services will do it for you. The sooner you join a plan, the sooner you begin receiving benefits.

To learn more, read Extra Help with Medicare Prescription Drug Plan Costs

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For help finding the best Medicare or Individual Health Plan for you, please contact Liberty Medicare or call us at 877-657-7477.

Monthly premium

Medicare Extra Help Copays 2021

Out-of-pocket drug costs

* Copayment amounts for generic/preferred multi-source and other drugs, respectively. For example, the first amount shown ($3.70) is the copayment for a generic drug filled for a member in the LIS Category 1.

Lis Copays

** After the true-out-of-pocket limit is reached, the Catastrophic copayment for LIS Levels 1, 2, and 3 is $0 for both generic and brand drugs. The Catastrophic copayments for LIS Level 4 are $3.70 for generic/preferred multi-source drugs and $9.20 for other drugs.

You must continue to pay your Medicare Part B premium.

HMSA Disclaimer

2021 Extra Help Premium Amounts

• HMSA Akamai Advantage is a PPO plan with a Medicare contract. Enrollment in HMSA Akamai Advantage depends on contract renewal.