Medicare Part D Extra Help Eligibility Calculator
Check eligibility for Low-Income Subsidy (LIS) program.
Extra Help Eligibility
Full Extra Help:Eligible
Partial Help:Not Eligible
Status:Full LIS
Extra Help (LIS) provides premium/deductible assistance for Part D drug coverage.
2024 Income Limits
Your Income:$ 20000
Full LIS Limit:$ 21850
Partial LIS Limit:$ 26280
Income Eligible (Full):Yes
Income includes wages, Social Security, pensions. Some income types excluded (SSI, food assistance).
2024 Resource Limits
Your Resources:$ 15000
Full LIS Limit:$ 17150
Partial LIS Limit:$ 51800
Resource Eligible (Full):Yes
Resources: cash, bank accounts, stocks, bonds. Home and car usually excluded.
Full Extra Help Benefits
Deductible:$ 0
Premium:$ 0
Generic Copay:$ 4.50
Brand Copay:$ 11.30
Annual Savings:$ 1345
Full LIS: no premium, no deductible, low copays for covered drugs.
Partial Extra Help Benefits
Deductible:$ 104
Premium:Varies by plan
Generic Copay:15%
Brand Copay:15%
Annual Savings:$ 741
Partial LIS: reduced premium/deductible, 15% coinsurance for drugs.
State Pharmaceutical Assistance (SPAP)
State:CA
SPAP Available:Yes
Some states offer additional drug cost assistance (SPAP). Check your state program.
Extra Help Key Points
- Full Extra Help: $0 premium, $0 deductible
- Partial Extra Help: reduced costs
- Apply through SSA or Medicare
- Auto-enrolled if on Medicaid/SSI
- Income & resource limits apply
- Home and car excluded from resources
- Can apply anytime during year
- SPAP provides additional state help
- Catastrophic coverage copays lower
- Apply at ssa.gov or call 1-800-772-1213