Extra Help/Low Income Subsidy

Do you need help paying for your prescriptions?

FAQ

What is Extra Help?

Extra Help, also known as Low Income Subsidy (LIS), is a federal subsidy program that helps low-income Medicare-eligible consumers save money on their prescription costs and other Part D related costs. The program is administered by the Social Security Administration (SSA) who determines if consumers are eligible, (based on income and resource thresholds, which change annually), consumers’ qualifications and eligibility levels, and processes the application.

Who Qualifies for Extra Help?

Those who meet these 3 requirements:

• Have Medicare Part A and/or Part B
• Reside in one of the 50 states, or the District of Columbia
• Meet income and resource limit

2022 Income Limits for New Mexico

                                                            Individual                                          Married

Yearly Gross Income                         $20,628                                          $27,708

Monthly Gross Income                        $1,719                                            $2,309

2022 Resource (Asset) Limits

                                                       Individual                                               Married

Full Subsidy                                   $9,900                                                  $15,600

Partial Subsidy                              $15,510                                               $30,950

**lf you have any questions about these requirements, please give us a call.

How does Extra Help benefit you?

-Reduce/Eliminate Medicare Part D plan deductibles
-Reduce/Eliminate Medicare Part D plan monthly premiums
-Reduce prescription refill copays to $3.95 - $9.85, or 15% of drug costs
-Reduce/Eliminate Medicare Part D late enrollment penalties 

**Assistance is based on subsidy level, which is determine by the Social Security Administration**

We are here to answer your questions and help you.

If it looks like you might be eligible for Extra Help, we can guide through each step of the way through the application process. Electronic applications only take about 10 minutes to complete!

What can you expect once an application is submitted?

You should receive a letter back from the Social Security Administration within 30 days. If approved for full/partial benefits, changes to their Medicare Part D costs will occur automatically.

What should you do if you receive a denial letter?

Unfortunately, we cannot guarantee that everyone who applies will be approved by the Social Security Administration. Please call us to discuss your options.

Can I reapply for Extra Help if I was denied in the past?

The Social Security Administration updates Income and Resource guidelines every year. While you may not have qualified in the past, you may now.