Extra Help With Prescription Coverage

Other Resources

If you would like to speak with someone directly about Extra Help, you can call our Medicare Medicaid Assistance Program at 1-800-803-7174.

What is Extra Help?

The Extra Help program can greatly reduce your prescription drug costs.  It’s available to people with limited income and resources and helps reduce monthly premiums and annual deductibles for Medicare Part D prescription plans.  Part D plans provide prescription coverage and enrolling in a plan makes prescriptions much more affordable—often reducing out-of-pocket expenses to a small co-pay for each prescription after a yearly deductible has been met.  The amount of the co-pay, monthly premium and annual deductible depends upon the specific plan you decide to enroll in, and there are many plans to choose from.

The Extra Help program will reduce the costs for your prescription coverage plan by:

  • Reducing your monthly premiums (some basic plans will be available at NO monthly cost)
  • Reducing any yearly deductibles
  • Eliminating the coverage gap or “doughnut hole”

How Do I Know if I Qualify?

You automatically qualify for Extra Help if you:

  • Have full Medicaid coverage
  • Your get help from the state to pay for your Medicare Part B premiums
  • You get SSI

If you automatically qualify, you’ll receive a purple letter to let you know.

If you have not received a letter, you still may be eligible if your income falls below a certain level ($17,235 a year if you’re single and $23,265 a year if you’re married). Cash assets are also taken into account. You can use our Extra Help Eligibility Calculator to help determine your eligibility. It only takes a few minutes and it you don’t have to give any personal information. It will also help determine if you are eligible for programs that will help you save on other Medicare-related expenses.

What  Are the Next Steps If I Am Eligible?
If you think you qualify, the Area Agency on Aging 1-B’s MMAP program can help you with the application.  For one-on-one assistance, call us at 800-803-7174.