What are the Medicare Extra Help resource and income limits?

To qualify for Extra Help, you must meet Medicare’s resource and income eligibility requirements:

  • Medicare Extra Help Resource Limits in 2016 must be limited to $13,640 for an individual or $27,250 for a married couple living together, these amounts may change within the current contract year. Resources include the value of the things you own, including real estate (other than your primary residence), bank accounts, CDs, stocks, bonds, mutual funds, Individual Retirement Accounts (IRAs). For eligibility purposes, Medicare does not include your primary residence, personal possessions, vehicle(s), jewelry, home furnishings, life insurance policies or burial expenses as resources.
  • Medicare Extra Help Income limits must be limited to $17,820 for an individual or $24,030 for a married couple living together. You may still be able to get partial Extra Help even if your annual income is higher, if:
    • You or your spouse support other family members living in the same household, or
    • Have earnings from work, or
    • Live in Alaska or Hawaii. (The income limit for Alaska is $20,295 for an individual or $27,315 for a married couple living together. The income limit for Hawaii is $18,690 for an individual or $25,140 for a married couple living together.)

Medicare does not include the following income when determining Extra Help eligibility:

  • Supplemental Nutrition Assistance Program (food stamps)
  • Housing assistance, home energy assistance or Earned Income tax credit payments
  • Medical treatment and drugs
  • Disaster assistance or assistance from others to pay your household expenses
  • Victim’s compensation payments
  • Scholarships and education grants

For complete information about Extra Help resource and income limits and exclusions, contact Social Security at 1-800-772-1213 (TTY 1-800-325-0778), or visit www.socialsecurity.gov/extrahelp.

Return to the Medicare FAQ section to view more answers to other commonly asked questions about Medicare prescription drug coverage.