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Eligibility for Extra Help with Prescription Drug Costs
2601.1 When are you entitled to extra help with Prescription Drug Costs?
You are entitled to extra help with prescription drug costs if you:
Are entitled to benefits under Medicare Part A (hospital insurance) or enrolled in Medicare Part B (medical insurance) or both, and
Reside in one of the 50 states or the District of Columbia, and
Have countable assets of less than $11,990 for individuals and $23,970 for a couple (in 2008), and
Have an annual income of less than $15,840 for individuals who live alone or $21,240 for married couples (in 2008) without other dependents (or higher, if living in Alaska or Hawaii and/or some of the income is from work), and
File an application with SSA or with a Medicaid State Agency.
2601.2 How do I apply for this extra help?
You may apply online at: http://www.socialsecurity.gov, at a local Social Security office, or with your State Medicaid Agency. You may also receive an application in the mail. It should be mailed to the Social Security Administration, Wilkes-Barre Data Operations Center, P.O. Box 1020, Wilkes-Barre, PA 18767-9910.
2601.3 When Is It NOT Necessary to File an Application?
You do not need to file an application if you:
receive Supplemental Security Income (SSI) payments and have Medicare, or
you have full Medicaid and Medicare coverage.
If your State Medicaid program pays your Medicare Part B premiums because you belong to a Medicare Savings Program, contact your State whether you should file an application for extra help. You may be able to get this coverage automatically.
Last Revised: Feb. 4, 2008
- Where Applications May Be Filed
- Prescription Drug Benefits Provided
- Application for Benefits or Medicare Protection
- Description of Extra Help Available for Medicare Prescription Drug Costs
- Filing an Application
- Help for some low-income people
- Purposes of Social Security
- Tips and Advice for Medicare
- Result of Delay in Filing for Benefits
- You may be able to get other help
- What are unearned income exclusions?
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