Employees Retirement System of Texas
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Help with Medicare Prescription Drug Costs


Medicare offers Extra Help (sometimes called Low Income Subsidy or LIS) 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 $17,655 in annual income/$13,640 in assets (if single).³
  • Have less than $23,895 in annual income/$27,250 in assets (if married).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.

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UnitedHealthcare

IMPORTANT DATES

2019 Open Enrollment Period

Began: 10/29/2018
Ended: 11/16/2018


IMPORTANT INFORMATION

Information on your new Medicare card  

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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: 09.26.2018 at 12:01 AM  S5820_180905_012808_M