Some people with limited resources and income may be able to get Extra Help (Low Income Subsidy) to pay all or some of the costs of a Medicare prescription drug plan, including premiums, annual deductibles, and copays. See how Extra Help can lower your premiums with SilverScript. To find out if you qualify, the Social Security Administration will need to know whether you are single or married, the value of your savings, investments, real estate (other than your home) and your income. There are two ways to get Extra Help:
In most cases, you apply for Extra Help either through the Social Security Administration or through your state Medicaid Office. For more information or to apply:
To ensure accuracy, the Social Security Administration encourages you to complete the Extra Help form with the help of a family member or a caregiver. The application requires you to identify the assets you own alone, with your spouse or with someone else, not including your home, any vehicles, burial plots or personal possessions. Note: It will save time and make the application process easier if you review all of your income and gather your records before starting the application for Extra Help with Medicare Prescription Drug Plan Costs.
Extra Help Application Forms are available by calling the Social Security Administration and by visiting the Social Security Administration's website.
To be eligible for Extra Help, you must meet the following national levels. You may apply for Extra Help directly with the Social Security Administration.
You are entitled to Medicare Part A (Hospital Insurance)
You are enrolled in Medicare Part B (Medical Insurance)
You have an annual income of up to $24,690 and assets of less than $28,150*
You have an annual income of up to $18,210 and assets of less than $14,100.*
You have an annual income of up to $30,870 and assets of less than $28,150*
You have an annual income of up to $22,770 and assets of less than $14,100.*
You have an annual income of up to $28,395 and assets of less than $28,150.*
You have an annual income of up to $20,940 and assets of less than $14,100.*
*These asset limits include $1,500 per person for burial expenses. Assets include money in cash, checking accounts, savings accounts, money market accounts, stocks, bonds and other assets you may have.
Note: These income amounts are for 2018 and the asset limit amounts are for 2018. Income and asset amounts may change each year.
You can use the Best Available Evidence (BAE) when the Extra Help information your Medicare Prescription Drug Plan (PDP) has is not up to date. Because of the way in which data is exchanged and stored, your Extra Help information may not be up to date or accurate.
If your information is incorrect, you can use the BAE policy to show that you qualify, using such evidence as your award letter from Social Security Administration, your Medicaid card or other proof of your eligibility for Extra Help. When you provide this information to your Medicare Prescription Drug Plan, your plan will update your Extra Help information as soon as possible.
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1.866.362.6212 TTY: 711
(24 hours a day, 7 days a week)
SilverScript is a Prescription Drug Plan with a Medicare contract offered by SilverScript Insurance Company. Enrollment in SilverScript depends on contract renewal.
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This information is not a complete description of benefits. Call Customer Care at 1.866.362.6212 (TTY: 711) 24 hours a day, 7 days a week for more information.
The Formulary and Pharmacy network may change at any time. You will receive notice when necessary.The directory is for a geographic area. We also list pharmacies that are in our network but are outside a geographic area.
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Y0080_12365_WEB_2019 Last Updated: 05/09/2019