The Federal Medicare Extra Help program also referred as the Medicare Low Income Subsidy (LIS) program, is for people with full Medicaid coverage as well as for people who are not on Medicaid but who have limited income. (See Medicare Extra Help / Low Income Subsidy (LIS)). Coolpad modems driver download for windows.
If a Silver plan's copayment is $30 for a doctor's visit, if you enroll in the plan and qualify for extra savings, you may pay $20 or $15 instead. You'll have a lower 'out-of-pocket maximum.' This means the total amount you'd have to pay in a year if you used a lot of care, like if you got seriously sick or had an accident, would be lower. Who Qualifies for 'Extra Help'? For the plan year 2021 If your income is below $19,320 per year for a single person (or $26,130 for a married couple living together or even more if you have dependent children or grandchildren living with you), AND if your assets (resources) are below $13,290. for a single person (or $26,520. if you are married).
- S had full Extra Help and a monthly income below $1,094, his copays would be $1.30 for generics and $4.00 for brand-name drugs, making his generic Extra Help copay less costly than the plan copay of $1.35. This means that Mr. S would pay the Extra Help copay throughout the year.
- Extra Help, you will need to file an. Application for Extra Help with Medicare Prescription Drug Plan Costs (Form SSA-1020). Resources and Income. What is the resource limit? Extra Help, your resources must be limited to $14,790 for an individual or $29,520 for a married couple living together.
- What help can I receive? Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $5,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Medicare Low Income Subsidy (LIS) – 2021
Here are 2020 Low-Income Subsidy Copayments:
Lis Income Guidelines 2021
- Full Benefit Dual Eligibles Institutionalized or Receiving Home and Community-Based Services (HCBS): $0
- Full Benefit Dual Eligibles with Incomes <= 100% of Federal Poverty Level
- Generic/Preferred Drugs: $1.30
- Other: $4.00
- Above Catastrophic Limit: $0.00
- Full Benefit Dual with Incomes > 100% of Federal Poverty Level & Other Full-Subsidy Eligible Beneficiaries
- Deductible: $0
- Generic/Preferred Drugs: $3.70
- Other: $9.20
- Above Catastrophic Limit: $0.00
- Beneficiaries with QMB/SLMB/QI, SSI or applied an income below 135% FPL and resources below $9,360 (individuals, 2021) and below $14,800 (couples, 2021)
- Beneficiaries
- Deductible: $0
- Generic/Preferred Drugs: $3.70
- Other: $9.20
- Above Catastrophic Limit: $0.00
- Beneficiaries with income below 150% FPL and resources between $9,361 and $14,610 (individuals, 2021) or between $14,801 and $29,160 (couples, 2021)
- Deductible: $92.00
- Coinsurance to Initial Coverage Limit: 15%
- Generics Above Catastrophic Limit: $3.70
- Others Above Catastrophic Limit: $9.20
How to Apply?
Lis Amounts For 2021
To apply for Low Income Subsidy (LIS), complete the Social Security Application for Extra Help with Medicare Prescription Drug Plan Costs (SSA-1020).
You may do it one of three ways:
- Apply online at www.ssa.gov/extrahelp; or
- Call Social Security at 1-800-772-1213 to apply over the phone or to request an application; or
- Apply at your local Social Security office.
After you apply, Social Security will review the application and send you a letter informing whether you are qualified for Low Income Subsidy. Once you qualify, you can choose a Medicare Prescription Drug plan. If you do not select a plan, the Center for Medicare and Medicaid Services will do it for you. The sooner you join a plan, the sooner you begin receiving benefits.
2021 Lis Chart
To learn more, read Extra Help with Medicare Prescription Drug Plan Costs
Please give us your feedback!
Extra Help Copays 2021 Online
What do you think about Medicare Low Income Subsidy (LIS) – 2021? Write your comments.
Contact Us
For help finding the best Medicare or Individual Health Plan for you, please contact Liberty Medicare or call us at 877-657-7477.