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Extra help

People with limited incomes may qualify for extra help to pay for their prescription drug costs. Medicare’s Extra Help program helps cover the cost of prescription drug coverage. (You may also hear this referred to as an LIS, or low-income subsidy.)

If you qualify, Medicare could pay up to 75 percent or more of your drug costs, including monthly prescription drug premiums, annual deductibles, and co-insurance.

Do I qualify?

Learn whether you qualify for Extra Help by:

  • Calling Social Security at 800-772-1213 (TTY 800-325-7778) available 7 a.m. to 7 p.m., Monday through Friday
  • Contacting your Medical Assistance (Medicaid) office
  • Visiting your local Social Security office to apply, or
  • Go online to apply for extra help at socialsecurity.gov/prescriptionhelp.

After you know how much help you qualify for, use this chart to view your subsidized monthly premiums. This does not include any Medicare Part B premium you may have to pay.

Your level of extra help Freedom Vital w/Rx Freedom Active w/Rx Freedom Balance w/Rx Freedom Ultimate w/Rx Freedom Ultimate w/Enhanced Rx WI Freedom Balance w/Rx MSHO
100% $38.90 $77.20 $106.90 $197.00 $329.90 $114.00 $0
75% $46.80 $85.70 $118.60 $205.50 $338.40 $124.00 $0
50% $54.60 $94.20 $127.10 $214.00 $346.90 $134.10 $0
25% $62.50 $102.70 $136.60 $222.50 $355.40 $144.10 $0
Disclaimer:

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary.

HealthPartners MSHO is a health plan that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. HealthPartners Freedom is a Cost plan with a Medicare contract. Enrollment in HealthPartners depends on contract renewal.

Last updated October 2016
H2422_97688 Approved
H2462_97688 Approved

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