1. What Is Copay Assistance Program
  2. Full Extra Help
  3. Medicare Extra Help Program 2021
The Federal Government provides an extensive program for people needing financial assistance with the Medicare Part D program. Depending on your income and available financial resources , Medicare will provide 'Extra Help' that may cover 85% to 100% of prescription costs and may also pay a part or all of your Medicare Part D premiums.

2021 Extra Help/LIS copay levels & costs. People on these programs are “deemed” eligible for LIS – they don’t need to apply! Beneficiary group Monthly income. Monthly premium. Annual deductible. Total covered spending: ≤$9,314 $9, 314 Income and assets vary by program rules Full Medicaid (Categorically. UPDATED 1.29.2020. 2020 Extra Help/LIS copay levels & costs. People on these programs are “deemed” eligible for LIS – they don’t need to apply! Beneficiary group Monthly income. Monthly premium. Annual deductible. Total covered spending: Income and assets vary by program rules Full Medicaid (Categorically. The above amounts are for 2020 and may change in 2021. If your income and resources are slightly higher, you should still apply. How do I apply for Extra Help? It’s free to apply for Extra Help. Apply as soon as possible to make sure you get Extra Help starting January 1, 2021, if. What help can I receive? Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $5,000 per year. Markdown to wordpress. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.

Extra Help Copays 2020
Extra Help Copays 2020

Who Qualifies for 'Extra Help'?

For the plan year 2021 If your income is below $19,320 per year for a single person (or $26,130 for a married couple living together or even more if you have dependent children or grandchildren living with you), AND if your assets (resources) are below $13,290* for a single person (or $26,520* if you are married). *These limits do not include the $1,500 per person burial exclusion, see more details below.

The following items are NOT included in income:
  • Housing assistance,
  • Medical treatment and drugs,
  • Food stamp assistance, etc.
Click Here to see more payments that do NOT

What Is Copay Assistance Program

count toward income.

$1,500 per person Burial Exclusion:
All beneficiaries are permitted a $1,500 per person burial exclusion from their resources. This exclusion can be taken into account by either reducing your resources by $1,500 per person (Medicare & Your Handbook) or by increasing the resource limit by $1,500 per person (Most other Social Security Administration and Medicare documents). Below is a chart showing the resource figures with, and without taking into account the burial exclusion:
Maximum Resource LimitWith $1,500 Burial ExclusionWithout $1,500 Burial Exclusion
Individuals$14,790$13,290
Couples$29,520$26,520

The following items are included in resources:
  • bank accounts,
  • stocks and bonds,
  • Real estate (other than your primary residence), etc.
The following items are NOT included in resources:
  • the house you live in,
  • your car,
  • other personal possessions such as your furniture and jewelry, etc.
  • burial plots,
  • up to$1,500 for burial expenses (per person), or
  • life insurance policies.
Click Here to see more assets that do NOT count toward resources.

Click on the year below to change the above qualification figures to the selected year:
202020192018201720162015201420132012201120102009200820072006
If you receive the full Extra-Help, full LIS, or are dual eligible for Medicare and Medicaid, there are Medicare Prescription Drug plans in your state the will qualify for the $0 monthly premium. Click on your state below to see PDP plans that qualify for the $0 premium:
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Who Should You Contact for 'Extra Help'?

Medicare Beneficiaries Who are interested in qualifying for financial 'extra help' with the Medicare Part D Prescription Drug plans should visit http://www.socialsecurity.gov/i1020

Also see:

Full Extra Help


Medicare Extra Help Program 2021