Extra Help
Extra help is available for those who need it most

Low-Income Subsidy

If you need help paying for Part D prescription drug coverage, the federal government offers three separate levels of assistance. Depending on your level of need, your deductibles and premiums may be reduced or even eliminated. In addition, your coinsurance and copayments may also be reduced.

Your level of need is determined by such factors as your annual income (specifically as it relates to the federal poverty level) and your assets. For more detailed information about the low-income subsidy, you can contact 1-800-MEDICARE, 24 hours a day, 7 days a week (TTY 1-877-486-2048). You can also call the Social Security Administration, at 1-800-772-1213 (TTY 1-800-325-0778) 7 a.m. to 7 p.m. Monday through Friday or visit www.socialsecurity.gov.

Learn more about the low-income subsidy.

Best Available Evidence Policy

Early in 2006, a number of factors contributed to the problem of incorrect cost-sharing levels for full-benefit dual eligible’s and other LIS eligible individuals. The purpose of this link is to provide members with information on CMS Best Available Evidence policy.

In certain cases, CMS systems do not reflect a beneficiary’s correct low-income subsidy (LIS) status at a particular point in time. To address these situations, CMS created the Best Available Evidence (BAE) policy. This policy requires Plans to establish the appropriate cost-sharing for low-income beneficiaries when presented with evidence that the beneficiary’s information is not accurate.

Learn more about the Best Available Evidence Policy.