For Consumers

Get help paying for prescription drugs

Medicare Part D prescription drug coverage Extra Help assists Medicare clients, who qualify, for help to pay their prescription drug plan costs. It covers: 

  • Premiums.
  • Deductibles.
  • Copays.
  • Donut hole/coverage gap. (This is when Medicare temporarily stops paying for your prescriptions and you have to pay the entire cost of medications.)

Caution: If you receive prescription coverage from an employer plan, you may not want to apply for this help. It could mean you would lose your employer health plan.

See if you qualify for Extra Help for Part D prescription drugs

(Effective February 2020)

Extra Help Part D income and resource (asset) levels

Category

If your income is less than:

If your resources (assets)* are less than:

Single person

$1,615 per month/$19,140 per year

$14,610

Couple

$2,175 per month/$26,100 per year

$29,160

*Resources include the value of things you own. Examples of resources: Real estate (except the home you live in), bank accounts (checking, savings and certificates of deposit, stocks, bonds, including U.S. Savings Bonds, mutual funds, Individual Retirement Accounts (IRAs) and cash at home or anywhere else. Resources do not include the home you live in and one car.

Note: If you have income from working, your income could be higher, so we recommend applying to see if you qualify.

How to apply

Contact your local Statewide Health Insurance Benefits Advisors (SHIBA) program directly to ask for help applying. Or call our Insurance Consumer Hotline at 800-562-6900 and ask to be connected to your local SHIBA office.