CalPERS Retirees – Help with Prescription Drug Costs
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Help with Medicare Prescription Drug Costs

Medicare offers Extra Help to people with low incomes and limited assets. If you qualify, you'll get help with drug costs that Medicare doesn't cover, including your plan premium, drug deductible and prescription copays. Depending on your income and resources, you could save an average of $4,900¹ per year.

Less than half of the people eligible for Extra Help sign up. If you think you might qualify, submit an application.

Do I qualify for Extra Help?

To be eligible for help with drug costs, you must:

  • Live in the United States or District of Columbia.²
  • Qualify for Medicare Part A and/or be enrolled in Medicare Part B.
  • Have less than $18,735 in annual income/$14,610 in assets (if single) in 2020.³
  • Have less than $25,365 in annual income/$29,160 in assets (if married) in 2020.³

¹ SSA.gov website

² Programs may vary if you live in Puerto Rico, U.S. Virgin Islands, Guam, American Samoa or the Northern Mariana Islands. Income amounts will vary for Hawaii and Alaska.

³ If you have more or less than these amounts, you still may qualify for Extra Help. The resource limits include $1,500 per person for burial expenses. These amounts may change each year.

Best Available Evidence policy

The federal Best Available Evidence (BAE) policy requires that the plan adjust your subsidy if you provide updated information that changes the level of extra help you receive. A memo on the CMS website explains the procedures for updating a person's level of Extra Help.

Note: PDF (Portable Document Format) files can be viewed with Adobe® Reader®. If you don't already have this viewer on your computer, download it free from the Adobe Web site.

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IMPORTANT DATES

2021 Open Enrollment Period

Begins: September 21, 2020
Ends: October 16, 2020

Benefits effective January 1, 2021.

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PDF (Portable Document Format) files can be viewed with Adobe® Reader®. If you don’t already have this viewer on your computer, download it free from the Adobe Web site.

Last updated: 09.03.2020 at 12:01 AM CT  H2001_090420AMR