For many Medicare beneficiaries, out-of-pocket healthcare expenses can add up quickly. Fortunately, the Extra Help program—also known as the Low-Income Subsidy (LIS)—offers financial assistance to eligible individuals to help cover Medicare prescription drug costs. Understanding this program and how it works can make a significant difference in managing healthcare expenses.
What is the Extra Help Program?
The Extra Help program is a federal initiative designed to assist people with limited income and resources by reducing their Medicare Part D prescription drug costs. This includes lower monthly costs, annual deductibles, and prescription copayments.
Who Qualifies for Extra Help?
Eligibility for Extra Help is based on income and asset limits set by the federal government. As of 2025, the following general criteria apply:
- Individuals with a monthly income of $1,976 or less may qualify.
- Married couples with a monthly income of $2,664 or less may be eligible.
- Certain resource limits (including savings, investments, and real estate outside of a primary residence) also apply for individuals and couples.
Even if your income is slightly above the limits, you may still qualify due to certain deductions, such as living expenses and other medical costs.
What Does Extra Help Cover?
Beneficiaries who qualify for Extra Help can receive:
- Lower out of pocket costs for Medicare Part D plans.
- Lowered annual deductibles.
- Low prescription drug copayments .
- Continuous coverage throughout the year.
How to Apply for Extra Help
Applying for Extra Help is simple and can be done in several ways:
- Online: Visit the Social Security Administration (SSA) website at www.ssa.gov/extrahelp to submit an application.
- By Phone: Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778).
- In Person: Visit your local Social Security office for assistance.
- Through Your State’s Medicaid Office: If you already receive Medicaid or Supplemental Security Income (SSI), you may automatically qualify for Extra Help without needing to apply separately.
Why You Should Consider Extra Help
Many people who qualify for Extra Help are unaware of the program or assume they don’t meet the eligibility requirements. However, applying can significantly lower your healthcare costs and provide access to necessary medications without financial strain. If you’re struggling with Medicare prescription drug expenses, you should check to see if you might be eligible.
Get Assistance with Your Medicare Plan
Navigating Medicare coverage can be overwhelming, but you don’t have to do it alone. If you need help understanding your options or determining if you qualify for Extra Help, our team of licensed insurance agents are here to guide you. We can help you explore your Medicare options and find the financial assistance programs that best fit your needs.