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Medicare's Extra Help
Program


Also referred to as Low Income Subsidy (LIS), the Medicare Part D Extra Help program is a Social Security Administration program created to help people with limited incomes pay for prescription drugs. If you qualify for Medicare Part D Extra Help, you will pay less in drug premiums and copayments. You also will be covered during the Coverage Gap and will not have to pay a late enrollment penalty.

Medicare Part D Extra Help Contact Information

You may be able to get Medicare Part D Extra Help to lower your prescription drug premiums and costs. To find out if you qualify for Medicare’s Extra Help program, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day, 7 days a week, or
  • The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778, or
  • Your state Medicaid office.

Note: If you qualify for Medicare’s Extra Help program, your copayments for prescription drug costs as well as your monthly plan premium will be lower. Once you are enrolled in a Medicare Prescription Drug Plan (PDP) or a Medicare Advantage Prescription Drug Plan (MA-PD), this subsidy will be applied to your coverage. We will send you information on the lower amount for your monthly premium. Cost-sharing for your prescription drugs will be lower. Note that Medicare Part D Extra Help will not pay for your monthly Medicare Part B premium.

There are four different levels of the Medicare Part D Extra Help program. Depending on which level you are eligible for, your monthly plan premium will vary. The four levels of Extra Help cover 100%, 75%, 50% or 25% of a portion of your monthly Medicare Part D plan premium. Extra Help does not always apply to the full amount of your Medicare Part D plan premium. Note that if you have a Medicare Advantage Prescription Drug Plan, your Medicare Part C Premium will not be lowered.

You must be enrolled in a Prescription Drug Plan (PDP) or a Medicare Advantage Plan that includes a prescription drug benefit (MA-PD) to qualify for Medicare Part D Extra Help.

Helpful Links on Medicare’s Extra Help Program

  • Are you eligible for Extra Help? Read about Medicare's Extra Help program, and who may qualify for Medicare Part D Extra Help assistance.
  • To find out if you are eligible for Medicare Part D Extra Help, call your Social Security office, or go to the Social Security Administration's website.

  • Have Questions? 1-866-362-6212

  • Call us toll-free, 24 hours a day, 7 days a week.
    TTY users call 1-866-552-6288
    FAQsContact Us

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Use the Plan Advisor to help you choose the right plan. Begin by selecting the statement below that best describes what you want from your Medicare prescription drug plan. Based on the statement you choose, the Plan Advisor will highlight the recommended SilverScript plan so you may compare it to the remaining SilverScript plans.

Plan Advisor
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Thank you for using the Plan Advisor. Based on the statement you selected, the most appropriate SilverScript plan is highlighted based on your specific needs. The key differences highlighted by the Plan Advisor are intended only as a basic guideline. Because there are other factors to consider, please review each plan before deciding on the plan that’s right for you and your budget.

See Plan Details

  • Select State:

  • Select Drug: