Medicare Extra Help
Medicare Made Easy
Medicare Extra Help
Extra Help is a program to help people with limited income and resources pay Medicare prescription drug program costs, like premiums, deductibles, and coinsurance. If you get Extra Help but you’re not sure if you’re paying the right amount, call your drug plan. Your plan may ask you to give information to help them check the level of Extra Help you should get.
Medicare has four basic forms of coverage:
• Part A: Pays for hospitalization costs
• Part B: Pays for physician services, lab and x-ray services, durable medical equipment, and outpatient and other services
• Part C: Medicare Advantage Plan (like an HMO or PPO) offered by private companies approved by Medicare
Medicare enrollees who have limited income and resources may get help paying for their premiums and out-of-pocket medical expenses from Medicaid (e.g. MSPs, QMBs, SLBs, and QIs).
Medicaid also covers additional services beyond those provided under Medicare, including nursing facility care beyond the 100-day limit or skilled nursing facility care that Medicare covers, prescription drugs, eyeglasses, and hearing aids. Services covered by both programs are first paid for by Medicare with Medicaid filling in the difference up to the state’s payment limit.
There are special Medicare Advantage Plans called Dual Eligible Plans for individuals who qualify for both Medicare and Extra Help (Medicaid).
Medicaid is a joint federal/state program that helps with medical costs for some people with limited income and resources.
State Medicare Savings Programs (MSP) programs help pay premiums, deductibles, coinsurance, copayments, and prescription drug coverage costs.
PACE (Program of All-inclusive Care for the Elderly) is a Medicare/Medicaid program that helps people meet healthcare needs in the community.
Qualify for Extra Help from Medicare to pay the costs of Medicare prescription drug coverage if you meet certain income and resource limits.
Programs in Puerto Rico, U.S. Virgin Islands, Guam, Northern Mariana Islands, and American Samoa, for people with limited income and resources.
Your level of extra help with Medicare prescription drug costs is described on a purple, yellow, green, or orange-colored notice from Medicare.
The Children’s Health Insurance Program (CHIP) provides free or low-cost health coverage for more than 7 million children up to age 19. CHIP covers U.S. citizens and eligible immigrants.
The Supplemental Security Income (SSI) program pays benefits to disabled adults and children who have limited income and resources. SSI benefits are also payable to people sixty-five and older without disabilities who meet the financial limits.
Where to apply for Medicaid:
If you have any questions about Original Medicare (Medicare Part A and Part B), Extra Help, Medicare Supplement Plans (Medigap), Medicare Advantage (Part C), or Prescription Drug Plans (Part D), we are at your service. For the best healthcare coverage at the absolute best price, why not give Ashford Insurance a call today?
You can also visit Texas Health & Human Services.
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Ashford Insurance is an independent health insurance agency specializing in Texas Medicare insurance and has been helping seniors since 2005. Ashford Insurance is here to help you understand Medicare and health insurance in simple, plain terms that anyone can grasp. We specialize in assisting folks who are Medicare eligible to learn about the coverage options available through the Medicare Health Insurance Program.
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