Extra Help program

E544647

Medicare subsidy program federal assistance program prescription drug cost assistance program

The Extra Help program is a federal assistance initiative that helps low-income Medicare beneficiaries pay for their Medicare Part D prescription drug costs, including premiums, deductibles, and copayments.

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Statements (48)

Predicate	Object
instanceOf	Medicare subsidy program ⓘ federal assistance program ⓘ prescription drug cost assistance program ⓘ
administeredBy	Centers for Medicare & Medicaid Services NERFINISHED ⓘ Social Security Administration NERFINISHED ⓘ
alsoKnownAs	LIS NERFINISHED ⓘ Low-Income Subsidy NERFINISHED ⓘ
applicationThrough	Social Security Administration NERFINISHED ⓘ state Medicaid agencies ⓘ
appliesTo	Medicare Part D prescription drug plans NERFINISHED ⓘ
automaticEnrollmentFrom	Medicaid NERFINISHED ⓘ Medicare Savings Programs NERFINISHED ⓘ Supplemental Security Income program NERFINISHED ⓘ
beneficiaryCost	varies by income level and Extra Help level ⓘ
benefits	elimination or reduction of Part D late enrollment penalty for eligible individuals ⓘ help paying Medicare Part D coinsurance ⓘ help paying Medicare Part D copayments ⓘ help paying Medicare Part D deductibles ⓘ help paying Medicare Part D premiums ⓘ reduced out-of-pocket prescription drug costs ⓘ
componentOf	Medicare Part D program NERFINISHED ⓘ
costSharingEffect	reduces annual Part D deductible ⓘ reduces or eliminates Part D plan premiums up to a benchmark amount ⓘ reduces out-of-pocket threshold for catastrophic coverage ⓘ sets fixed or reduced copayments for covered drugs ⓘ
country	United States of America ⓘ surface form: United States
documentationRequired	information on income and financial resources ⓘ
eligibilityCriteria	based on income limits ⓘ based on resource limits ⓘ generally requires residence in the United States ⓘ not enrolled in full Medicaid benefits that already cover Part D costs at the same level ⓘ requires entitlement to Medicare ⓘ
fundedBy	federal government of the United States NERFINISHED ⓘ
governingAgency	U.S. Department of Health and Human Services NERFINISHED ⓘ
hasLevel	full Extra Help ⓘ partial Extra Help ⓘ
legalBasis	Medicare Prescription Drug, Improvement, and Modernization Act of 2003 NERFINISHED ⓘ
penaltyRelief	may eliminate Medicare Part D late enrollment penalty for eligible beneficiaries ⓘ
purpose	to improve access to prescription medications for low-income Medicare beneficiaries ⓘ to reduce financial barriers to obtaining necessary prescription drugs ⓘ
relatedTo	Medicaid NERFINISHED ⓘ Medicare Savings Programs NERFINISHED ⓘ State Pharmaceutical Assistance Programs NERFINISHED ⓘ
requires	completion of an Extra Help application unless automatically enrolled ⓘ
scope	outpatient prescription drugs covered under Medicare Part D plans ⓘ
startDate	2006 ⓘ
targetPopulation	Medicare Part D enrollees with limited income and resources ⓘ low-income Medicare beneficiaries ⓘ

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Part D → hasLowIncomeSubsidy → Extra Help program ⓘ

subject surface form: Medicare Part D