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Save on drug costs!

Apply for extra help with Medicare prescription drug plan costs
SSA
Publication No. 05-10509, February 2008 ICN  470113 [View pdfGet Accessible Adobe Acrobat Reader (En Español)
 

A Few Minutes Of Your Time Can Save You Up To $ 3,600 A Year On Prescription Drugs

 
 

Contents

Do you need help with prescription costs?

How do you apply?

Help from state agencies

For more information

Worksheet

 

 

Do you need help with prescription costs?

Anyone who has Medicare can get Medicare prescription drug coverage. Some people with limited income and resources also are eligible for extra help to pay for the costs—monthly premiums, annual deductibles and prescription co-payments—related to a Medicare prescription drug plan. The extra help could be worth up to $3,600 per year. Many people qualify for these big savings and don’t even know it. To find out if you qualify, Social Security will need to know your income and the value of your savings, investments and real estate (other than your home). If you are married and living with your spouse, we will need information about both of you.

To qualify for extra help you must have:

  • Income limited to $15,600 for an individual or $21,000 for a married couple living together.

    Even if your annual income is higher, you still may be able to get some help. Some examples where your income may be higher are if you or your spouse:

    • Support other family members who live with you;
    • Have earnings from work; or
    • Live in Alaska or Hawaii; and

  • Resources limited to $11,990 for an individual or $23,970 for a married couple living together. Resources include such things as bank accounts, stocks and bonds. We do not count their house and car as resources.

 

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How do you apply?

If you are not getting the extra help automatically, it is easy to apply. Just complete Social Security’s Application for Help with Medicare Prescription Drug Plan Costs (SSA-1020). Here’s how:

After you apply, Social Security will review your application and send you a letter to let you know if you qualify for the extra help. Once you qualify, you can select the Medicare prescription plan of your choice. If you do not select a plan, the Centers for Medicare & Medicaid Services will do it for you. The sooner you join a plan the sooner you begin receiving benefits.

The worksheet on the back two pages can help you decide if you are eligible and will be a guide for completing the application for extra help. The worksheet is not an application.

You will need to:

  • Identify the things you own alone, with your spouse or with someone else. You should not include your home, vehicles, burial plots or personal possessions.
  • Review all your income.
  • Gather your records in advance to save time.

 

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Help from state agencies

State medical assistance (Medicaid) offices offer Medicare Savings Programs. These Medicare Savings Programs also help people with limited income and resources pay for their Medicare expenses. If you pay a premium for Medicare Part A, the Medicare Savings Programs may pay it for you. The help you get from the Medicare Savings Programs can save you more than $1,100 a year. This assistance is in addition to the extra help.

If you think you might be able to get help from your state with Medicare costs, or if you are not sure, call your state medical assistance (Medicaid) office or call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048).

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For more information

For more information about getting help with your prescription drug costs, visit www.socialsecurity.gov or call Social Security at 1-800-772-1213 (TTY 1-800-325-0778). Social Security representatives are available to help you complete your application.

To learn more about the Medicare prescription drug plans and special enrollment periods, visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048). Medicare also can tell you about agencies in your area that can help you with Medicare prescription drug plans.

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Resources Value
Bank accounts, including checking, savings and certificates of deposit
Stocks, bonds, savings bonds, mutual funds, individual retirement accounts (IRAs) or other investments
Cash at home or anywhere else
Life insurance policies for you (and your spouse, if married and living together)
NOTE:Social Security needs to know how much money you would get if you cashed in your life insurance policies today. Check with your insurance company or agent to get the exact cash value. This probably will be less than the amount you are insured for. .
Any real estate other than your home
Income Monthly Amount
Social Security benefits
Railroad Retirement benefits
Veterans benefits
Other pensions or annuities
Alimony
Net rental income
Workers' compensation
Other income
Help from other people to pay for household expenses, such as food, mortgage or rent, heating fuel or gas, electricity, water and property taxes
  Annual Amount
Wages $
Net earnings from self-employment

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