Texas Medicare and Extra Help

Medicare Extra Help, also known as the Low-Income Subsidy (LIS), is a federal program that helps people with limited income and resources to pay for their Medicare prescription drug costs, also known as Medicare Part D.

Eligible individuals who qualify for Medicare Extra Help may get assistance in paying for their monthly premiums, annual deductibles, co-payments, and coinsurance expenses related to their prescription drug coverage.

To qualify for Medicare Extra Help, you must be enrolled in a Medicare Part D prescription drug plan, have limited income and resources, and meet certain eligibility requirements.

The income and resource limits for Medicare Extra Help vary depending on where you live and your marital status. In 2023, the income limit is $20,160 for an individual or $27,240 for a married couple living together, and the resource limit is $15,880 for an individual or $31,760 for a married couple living together.

To apply for Medicare Extra Help, you can visit the Social Security Administration (SSA) website, call the SSA toll-free number at 1-800-772-1213 (TTY 1-800-325-0778), or visit your local SSA office. You will need to provide information about your income, resources, and Medicare Part D plan to determine if you qualify for the program.

If you are eligible for Medicare Extra Help, you will receive a notice from the SSA informing you of your enrollment and any changes to your prescription drug plan coverage. It’s important to note that you must reapply for Medicare Extra Help each year to ensure that you continue to qualify for the program.