Serving Our Community, Helping Our Seniors.

Habla Español & Pale Kreyòl

Medicare Extra Help: How to Get Help Paying for Prescription Drug Costs

Medicare Extra Help May Lower Your Prescription Drug Costs

If you have Medicare and your prescription drug costs are becoming difficult to manage, you may qualify for a federal program called Medicare Extra Help.

Extra Help, also known as the Part D Low-Income Subsidy, helps people with limited income and resources pay for Medicare prescription drug coverage costs, including premiums, deductibles, and copayments. Some people qualify automatically, while others need to apply.

At Medicare Plan Assistance, we help people understand their Medicare options, review available prescription drug coverage, and take the next step toward getting the help they may qualify for.

Need Help With Medicare Extra Help?

Call Medicare Plan Assistance today to speak with a licensed Medicare advisor.
We can help you understand your options and guide you through the next steps.

Call Now: 561-808-9410

What Is Medicare Extra Help?

Medicare Extra Help is a program designed to reduce the cost of Medicare Part D prescription drug coverage for people who meet certain income and resource guidelines.

Extra Help may help pay for:

  • Medicare Part D monthly premiums
  • Part D deductibles
  • Prescription copays
  • Certain out-of-pocket drug costs

According to Medicare.gov, in 2026, people who qualify for Extra Help may pay a $0 plan premium, $0 deductible, and no more than $5.10 for each generic drug and $12.65 for each brand-name drug at participating pharmacies. Once total drug costs reach $2,100 in 2026, covered drug costs may be $0 for the rest of the year.

That can make a major difference for people who take daily medications or are worried about prescription costs rising.

Don’t Overpay for Prescriptions

You may be eligible for help and not even know it.
Speak with a licensed Medicare advisor at Medicare Plan Assistance today.

Call 561-808-9410

Who May Qualify for Medicare Extra Help?

You may qualify for Medicare Extra Help if you have Medicare and have limited income and resources.

Some people are automatically eligible if they already receive certain types of assistance, such as Medicaid, Supplemental Security Income, or help from their state paying Medicare premiums. Others may need to apply through Social Security. Medicare explains that some people qualify automatically, while others must submit an application.

The Social Security Administration says you can apply for Extra Help before or after enrolling in a Medicare Part D plan. SSA may ask for information about income, bank accounts, retirement accounts, pensions, veterans benefits, annuities, and other financial resources.

Not Sure If You Qualify?

You do not have to figure it out alone.
Call Medicare Plan Assistance and let a licensed advisor help you review your situation.

Call Now: 561-808-9410

How Medicare Extra Help Can Save You Money

Prescription drug costs can add up quickly, especially if you take multiple medications. Extra Help may reduce what you pay at the pharmacy and may lower the cost of keeping a Medicare drug plan.

For many people, the savings can be significant. Social Security states that Extra Help is estimated to be worth about $5,700 per year for people who qualify.

This program may be especially helpful if you are:

  • Taking several prescriptions
  • Living on a fixed income
  • Paying high copays at the pharmacy
  • Struggling to afford your Medicare Part D plan
  • Unsure whether your current drug plan is still the best fit

Even if you were told in the past that you did not qualify, it may be worth checking again, especially if your income, medications, or household situation has changed.

Your Plan May Not Be the Best Fit Anymore

A plan that worked last year may not be the best option this year.
Let Medicare Plan Assistance help you compare your Medicare prescription options.

Call 561-808-9410

Does Extra Help Work With Medicare Advantage?

Yes, Extra Help can work with prescription drug coverage offered through a Medicare Advantage plan that includes Part D drug coverage.

However, Extra Help only helps with Medicare prescription drug costs. It does not pay for every medical cost, and it does not automatically mean that every Medicare Advantage plan is the right fit for you.

That is why it is important to review:

  • Your doctors
  • Your prescriptions
  • Your pharmacy
  • Your plan’s drug formulary
  • Your monthly premium
  • Your copays
  • Your total expected annual costs

A licensed Medicare advisor can help you look at the full picture before choosing or changing a plan.

Compare Plans Before You Enroll

Extra Help may lower drug costs, but choosing the wrong plan can still cost you.
Speak with Medicare Plan Assistance before making a decision.

Call Now: 561-808-9410

How to Apply for Medicare Extra Help

You can apply for Extra Help through the Social Security Administration. SSA says applicants should be prepared to provide information about income and resources, including bank statements, tax returns, retirement account balances, pensions, veterans benefits, annuities, and Railroad Retirement Board benefits when applicable.

Before applying, it is helpful to gather:

  • Your Medicare card
  • Your Social Security information
  • Current prescription list
  • Pharmacy information
  • Income details
  • Bank or retirement account information
  • Medicaid or state assistance information, if applicable

Once your application is reviewed, you will receive a decision. If approved, your Extra Help benefits can help reduce your prescription drug costs through your Medicare Part D coverage.

Need Help Taking the Next Step?

Medicare can feel confusing, but you do not have to handle it by yourself.
Call Medicare Plan Assistance and speak with a licensed Medicare advisor today.

Call 561-808-9410

Common Signs You Should Ask About Extra Help

You should consider asking about Medicare Extra Help if:

  • Your prescriptions are getting expensive
  • You skipped medication because of cost
  • You live on Social Security or a limited retirement income
  • You receive Medicaid or other assistance
  • You are unsure if your current Medicare drug plan covers your medications
  • You recently lost income
  • You are new to Medicare and need prescription coverage

Many people miss savings simply because they never check.

You Could Be Missing Out on Savings

A quick Medicare review may help you find lower-cost options.
Call Medicare Plan Assistance now for help reviewing your Medicare options.

Call Now: 561-808-9410

Medicare Extra Help vs. Medicare Savings Program

Extra Help is not the same as a Medicare Savings Program.

Medicare Extra Help helps with Medicare Part D prescription drug costs.

A Medicare Savings Program may help with certain Medicare costs, such as Part B premiums, depending on your state and eligibility.

Some people may qualify for both. If you are not sure which program applies to your situation, speaking with a licensed Medicare advisor can help you understand what to ask about and where to apply.

Ask About All Available Medicare Assistance

You may qualify for more than one type of help.
Call Medicare Plan Assistance today and let us help you review your options.

561-808-9410

Why Work With Medicare Plan Assistance?

At Medicare Plan Assistance, we help people understand Medicare in simple terms. Our goal is to help you compare options, avoid costly mistakes, and make confident Medicare decisions.

We can help you:

  • Understand Medicare Extra Help
  • Review prescription drug coverage
  • Compare Medicare Advantage and Part D options
  • Check whether your prescriptions may be covered
  • Understand enrollment timing
  • Connect with a licensed Medicare advisor

We are not the government, and we do not determine eligibility for Extra Help. But we can help you understand the process and guide you toward the right next step.

Get Help With Medicare Extra Help Today

If you are searching for help with Medicare Extra Help, prescription costs, Part D coverage, or Medicare plan options, now is the time to speak with someone.

Prescription drug costs can change from year to year. Your plan, pharmacy network, drug formulary, and out-of-pocket costs may also change. Reviewing your options could help you avoid paying more than necessary.

Speak With a Licensed Medicare Advisor Today

Call Medicare Plan Assistance now.
We can help you understand Medicare Extra Help and review your plan options.

Call Now: 561-808-9410

FAQ: Medicare Extra Help

What is Medicare Extra Help?

Medicare Extra Help is a federal program that helps people with limited income and resources pay for Medicare Part D prescription drug costs, including premiums, deductibles, and copays.

Is Medicare Extra Help the same as Medicaid?

No. Extra Help is specifically for Medicare prescription drug costs. Medicaid is a separate program that may help with broader healthcare costs for people who qualify.

Can I apply for Extra Help anytime?

Yes. Social Security says you can apply for Extra Help any time before or after enrolling in Medicare Part D.

How much can Extra Help save me?

Social Security estimates Extra Help may be worth about $5,700 per year for people who qualify. Actual savings depend on your plan, prescriptions, and eligibility.

Does Extra Help cover all medications?

Extra Help lowers costs for covered drugs under Medicare Part D. Your medications still need to be covered by your plan’s formulary, so it is important to review your drug list before choosing a plan.

Who can help me understand my options?

A licensed Medicare advisor can help you review your Medicare plan options, prescription coverage, and next steps.

Call Medicare Plan Assistance at

561-808-9410.

Call Now