Low Income Subsidy or “Extra Help”
Medicare beneficiaries who have limited income and resources may qualify for extra help to pay for prescription drugs costs. This low-income subsidy ( LIS ) from Medicare provides financial assistance for beneficiaries who have limited income and resources. Those who are eligible for this low-income subsidy will get help paying for their monthly premium, yearly deductible, prescription coinsurance and copayments and no gap in coverage.
Some people are automatically eligible for the low-income subsidy ( LIS ) . Those include people who are receiving: both Medicare and Medicaid; SSI with Medicare; benefits Medicare Savings Programs.
Who Should Complete This Application For Extra Help With Medicare Prescription Drug Plan Costs?
EXCEPTION: Even if you meet these conditions, DO NOT complete this application if you have Medicare and Supplemental Security Income (SSI) or Medicare and Medicaid because you automatically will get the extra help.
Dual Eligible Programs (Sometimes Called Medicare Savings Programs)
The state has programs that are part of the Medicaid program (sometimes called Medical Assistance) that will pay some of the costs of Medicare. The programs have similar names but offer different benefits. They also have slightly different qualifications. Your client’s income and resources (if any) determine which program they can apply for.
These programs are called:
Qualified Medicare Beneficiary (QMB)
Qualified Medicare Beneficiary (QMB) Program
Your Client May be Eligible for the Qualified Medicare Beneficiary (QMB) Program If:
What expenses does the QMB program cover?
Specified Low-Income Medicare Beneficiary (SLMB) Program
Your Client May be Eligible for the Specified Low-Income Medicare Beneficiary (SLMB) Program If:
What expenses does it cover?