Need Medicare Help?

What’s Extra Help?

 “Extra Help” is a Medicare program to help people with limited income and resources pay Medicare drug coverage (Part D) costs. Some people qualify automatically for Extra Help, while others need to apply.

The Extra Help program can help pay these Medicare drug costs:

• Premium: A monthly amount you pay for coverage, whether you get services or not
• Deductible: An amount you have to pay for covered services and items each year before Medicare or your plan starts to pay
• Coinsurance: A percentage of the cost that you pay

If you get Extra Help in 2024, you’ll pay:

• $0 for your Medicare drug plan premium and deductible
• Up to $4.50 for each generic drug
• Up to $11.20 for each brand-name drug
• $0 for each covered drug once your total out-of-pocket drug costs (including certain payments made on your behalf, like through the Extra Help program) reach $8,000

You won’t have to pay a Part D late enrollment penalty (if you have one) while you get Extra Help.

Note: Extra Help isn’t available in Puerto Rico, the U.S. Virgin Islands, Guam, the Northern Mariana Islands, or American Samoa. But there are other programs available in those areas to help people with limited income and resources. Contact your State Medical Assistance (Medicaid) office for more information. You can get the phone number for your state Medicaid office by visiting Medicaid.gov/about-us/beneficiaryresources/index.html#statemenu.

If you need assistance applying for extra help call Ashford Insurance at 817-952-3153.