Medicare's Extra Help Program
Also referred to as Low Income Subsidy (LIS), the Medicare Part D Extra Help program, administered by the Social Security Administration, was 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 or coinsurance. You also will be covered during the Coverage Gap and will not have to pay a Part D 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. Visit .
- The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778. Visit website.
- Your state Medicaid office.
Note: If you qualify for Medicare’s Extra Help program, your copayments or coinsurance 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 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 eligibile 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 website.