Drug costs under Extra Help

Monthly premium premium A premium is an individual’s monthly payment to a Medicare or other health insurance plan for coverage.

$0 if you are enrolled in a basic Part D Part D Part D, also known as the Medicare prescription drug benefit, is the part of Medicare that provides prescription drug coverage. Part D is offered through private companies either as a stand-alone plan, for those enrolled in Original Medicare, or as a set of benefits included with a Medicare Advantage Plan.  drug plan with a premium at or below the Extra Help premium limit in your state

Copayments

If you have Extra Help Extra Help Extra Help, also known as the Part D Low-Income Subsidy (LIS), is a federal program administered by Social Security that helps pay for some to most of the out-of-pocket costs of Medicare prescription drug coverage, including coinsurances, deductibles, and premiums. People with Medicare who have income and assets below specified limits are eligible for Extra Help, which has different levels. Depending on your income and assets, you may qualify for either full Extra Help or partial Extra Help. People may also be automatically enrolled in Extra Help if they have certain other types of coverage, even if their income and assets are above the set levels. and your income is above $1,350

• $5.10 generic copay  
• $12.65 brand-name copay  

If you have Medicaid Medicaid Medicaid is a federal and state program that provides health coverage for certain people with limited income and assets. and your income is below $1,350

• $1.60 generic copay
• $4.90 brand-name copay 

$0 when you reach $2,100 in out-of-pocket costs out-of-pocket costs Out-of-pocket costs are health care costs that you must pay because Medicare or other health insurance does not cover them. in lmthteyear.