Extra Help/subsidies

Financial assistance for your prescription drugs: Learn about Extra Help

Medicare beneficiaries who have limited resources and income may be able to get Extra Help, a government financial assistance program that helps pay for Medicare Part D costs. If you qualify for Extra Help, you will receive either a full or partial subsidy, depending on your income and assets. Many beneficiaries qualify for some level of Extra Help, even if they exceed income limits.

The Extra Help program can help you pay for:

  • Your monthly Medicare Part D plan premium
  • Copays
  • Coinsurance amounts

The table below shows you what your monthly premium for a Blue MedicareRx Value, Enhanced or Essential plan would cost based on the four standard levels of assistance available.

Low-income Subsidy for 2021
Your level of
extra help
Monthly Premium
Value (PDP)*
Monthly Premium
Enhanced (PDP)*
Monthly Premium
Essential (PDP)*

100%

$0.00

$69.40 $15.60

75%

$7.90

$78.70 $21.60

50%

$15.70

$87.50 $27.50

25%

$23.60

$96.80 $33.50

* This does not include any Medicare Part B premium you may have to pay.

Find out if you qualify

The Social Security Administration has an online application you can complete to find out if you qualify for the Extra Help program.

You can also call the Social Security Administration or Medicare to find out if you qualify.

Social Security
1-800-772-1213 (TTY: 1-800-325-0778)
7 a.m. to 7 p.m., Monday through Friday

Medicare
1-800-633-4227 (TTY: 1-877-486-2048)
24 hours a day, 7 days a week

There may be more financial assistance available from programs in your state. Contact your state's Medicaid office to learn more.

If you have Extra Help and you're not sure if you're paying the right amount for your prescriptions, call customer service. We may ask you to give information to help us check the level of Extra Help you should get.

This information is available is also available for download.