Some people with limited resources and income may be able to get Extra Help to pay all or some of the costs of a Medicare Part D plan, including premiums, annual deductibles, and copays. According to Social Security Administration (SSA), Extra Help is estimated to be worth about $4000 per year. Visit the Social Security website for the latest information on eligibility for Extra Help.

There are two ways to get Extra Help:

  1. Some people need to apply directly through the SSA
  2. Others automatically receive Extra Help without applying through their State Medicaid Program

You are automatically eligible for Extra Help if:

  • You are eligible to receive both Medicare and Medicaid (dual eligibility)
  • You have a Medicare Savings program (partial dual eligibility)
  • You receive Supplemental Security Income (SSI) benefits but not Medicaid

Note: If any of these apply to you, you may also get help to pay your monthly Medicare Part B premium.

Applying for Extra Help with Medicare

In most cases, you apply for Extra Help either through the Social Security Administration or through your state Medicaid Office. For more information or to apply:

  • Visit your local Social Security Office
  • Call toll-free, 1-800-772-1213, between 7 a.m. and 7 p.m. Monday through Friday. TTY users should call 1-800-325-0778
  • Visit Social Security Administration's website

Completing the Extra Help Application Form:

To ensure accuracy, the Social Security Administration encourages you to complete the Extra Help form with the help of a family member or a caregiver. The application requires you to identify the assets you own alone, with your spouse or with someone else, not including your home, any vehicles, burial plots or personal possessions. Note: It will save time and make the application process easier if you review all of your income and gather your records before starting the application for Extra Help with Medicare Prescription Drug Plan Costs.

Records you will need to complete the Extra Help Application Form include:

  • Current account balance statements from banks, credit unions or other financial institutions
  • Investment statements and stock certificates
  • Life insurance policy statements and tax returns
  • Pension award letters and payroll slips

Extra Help Application Forms are available by calling the Social Security Administration and by visiting the Social Security Administration's website.

Extra Help Program 2018 Income and Asset Limits

To qualify for extra help with Medicare prescription drug plan costs in 2018, your annual income must be limited to $18,090 for an individual ($24,360 for a married couple living together). Note: Income and asset amounts may change each year.

Even if your annual income is higher, you still may be able to get some help. Some examples where your income may be higher are if you or your spouse:

  • Support other family members who live with you;
  • Have earnings from work; or
  • Live in Alaska or Hawaii.

Using the Best Available Evidence Policy (BAE)

Your Low Income Subsidy (LIS) information may not be up to date. You can use the Best Available Evidence (BAE) when the when the LIS information shown by your drug plan needs to be updated.

If your information is incorrect, you can use the BAE policy to show that you qualify, using such evidence as your award letter from Social Security Administration, your Medicaid card or other proof of your eligibility for Extra Help. When you provide this information to your Medicare Prescription Drug Plan, your plan will update your Low Income Subsidy information as soon as possible.

Helpful Links on Medicare Part D Eligibility

Need Help or have Questions? Call us toll-free at 1.844.368.8739 TTY:711 Hours: 8am to 8pm, 7 days a week.

Once enrolled, you’ll have access to more than 67,000 pharmacies. Click here to view the Alabama Network Pharmacy Directory.

This document is a PDF (Portable Document Format) file. It can be viewed with Adobe Reader. If you don't already have this viewer on your computer, download it free from the Adobe website.

You may also use a pharmacy that is not in our network. However, if you go to a pharmacy outside the network, you may have to pay more for your prescriptions, and you may have to file a claim to be reimbursed. You will be responsible for payment of any difference between the non-network pharmacy’s charge and the amount the plan allows. 

If you would like to request a printed copy, please call 844-368-8739 (TTY 711), 8am to 8pm, 7 days a week.

Medicare beneficiaries with limited incomes may qualify for the Medicare Part D “Extra Help” program. This is also known as the Low Income Subsidy (LIS) program.

The program was designed to help people with limited incomes pay for prescription drugs. If you qualify for Medicare Part D Extra Help, you will pay less in drug premiums and copayments or coinsurance. You also will be covered during the Coverage Gap (the “Donut Hole”), and you will not have to pay late enrollment penalties. For more information on the LIS Extra Help Program, click here

Click Here for a 2018 summary of monthly plan premiums for those eligible for extra help.

If you have multiple chronic conditions you may be invited to participate in the Medication Therapy Management Program (MTM). The program is designed for those who have two (2) or more chronic conditions and take a minimum of six (6) different chronic/maintenance medications, or are likely to incur more than $3,697 in annual drug costs. The MTM program offers participants direct access to health care professionals to help them better manage their health and health care expenses. Participation is optional, and you may choose not to participate.

For more about who is eligible for MTM and how the program can help you, click here.

Medicare beneficiaries may also enroll in Farm Bureau Essential Rx or Farm Bureau Select Rx through the CMS Medicare Online Enrollment Center located at

Members Health Insurance Company is a Part D plan with a Medicare Contract. Enrollment in Members Health Insurance Company depends on contract renewal. You must continue to pay your Medicare Part D premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply.

Beneficiaries generally must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and or copayments/ coinsurance may change January 1 of each year. The Formulary and/or Pharmacy Network may change at any time. You will receive notice when necessary.