Medicare's 'Extra Help' Program Content

 Medicare Icon Medicare's 'Extra Help' Program 

Medicare provides “Extra Help” to pay prescription drug costs for people who have limited income and resources. Resources include your savings and stocks, but not your home or car. If you qualify, you get help paying for any Medicare drug plan’s monthly premium, yearly deductible, and prescription copayments. This “Extra Help” also counts toward your out-of- pocket costs.

Some people automatically qualify for “Extra Help” and don’t need to apply. Medicare mails a letter to people who automatically qualify for “Extra Help.”
You may be able to get “Extra Help” to pay for your prescription drug premiums and costs. To see if you qualify for getting “Extra Help,” call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 877-486-2048, 24 hours a day/7 days a week.
  • The Social Security Office at 800-772-1213, between 7 am to 7 pm, Monday through Friday. TTY users should call 800-325-0778 (applications); or
  • Michigan State Medicaid Office (Michigan Enrolls) at 800-367-6557. TTY users should call 888-263-5897.


2015 MedicarePlus Advantage LIS Premiums (for both medical services and prescription drug benefits)
Your Level of Extra Help MedicarePlus
Option 0 Option 1 Essential
100% $0 $150.50 $0
75% $0 $158.40 N/A
50% $0 $166.30 N/A
25% $0 $174.10 N/A
Service Area Arenac, Bay, Clare, Clinton, Genesee, Gladwin, Gratiot, Huron, Ingham, Iosco, Isabella, Lapeer, Macomb, Midland, Oakland, Saginaw, Sanilac, Shiawassee, St. Clair, Tuscola, Washtenaw and Wayne counties.

The premiums listed do not include any Part B premium and if you qualify for Extra Help you will still need to pay the required Part B premium.

In certain cases, CMS systems do not reflect a beneficiary's correct low-income subsidy (LIS) status at a particular point in time. As a result, the most up-to-date and accurate subsidy information has not been communicated to the Part D plan. To address these situations, CMS created the best available evidence (BAE) policy in 2006. This policy requires sponsors to establish the appropriate cost-sharing for low-income beneficiaries when presented with evidence that the beneficiary's information is not accurate.