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Medicare Part D Low Income Subsidy
Certain Medicare beneficiaries who have low income and few if any assets may get financial assistance with paying the Part D premiums, deductibles and copayments. Medicare beneficiaries who have filed an application for Extra Help, have countable income less than 150 percent of the Federal poverty level (FPL) for his or her family size, have resources within the limits and who are enrolled in a Part D plan or MA-PD will be eligible for reduced or no monthly premiums, reduced or no deductibles and limited copayments. The amounts of subsidies for Part D premiums, deductibles and copayments will be based upon the:
• income of the Medicare beneficiary and living-with spouse (if any) measured against a percentage of the annual FPL for the beneficiary's family size (this includes dependent relatives living with the beneficiary), and
• resources of the Medicare beneficiary and living-with spouse (if any).
To be eligible for the subsidy an individual must:
1. Be entitled to benefits under Medicare Part A (hospital insurance) or entitled to Medicare Part B (supplementary medical insurance) or both, and
2. Reside in one of the 50 states or the District of Columbia, and
3. Have countable income and resources within specified limits, and
4. File an application with SSA or with a State Medicaid Agency.
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