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Extra help paying for prescriptions

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Get help paying for your Medicare prescription drug costs

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Get help paying for your Medicare prescription drug costs

The Medicare Extra Help program is for those with limited income and resources.  It helps pay for Medicare prescription drug costs. If you qualify for Extra Help, you’ll:

 

  • Get help paying your Medicare drug plan’s monthly premium, yearly deductible, coinsurance, and copayments
  • Have no coverage gap
  • Have no late enrollment penalty

Premium for ${company} members with Extra Help

Premium for ${company} members with Extra Help

Beginning January 1, 2019, those with Extra Help can switch plans once a quarter in the first nine months of the year.

 

You may qualify if you have up to $18,735 in yearly income ($25,365 for a married couple) and up to $14,390 in resources ($28,720 for a married couple). Note: Amounts are for 2019 and may change in 2020. If your income and resources are slightly higher, you should still apply.

Woman and man in boat

Choose your location and plan to see your 2019 monthly plan premium:

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How to apply for Extra Help

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How to apply for Extra Help

Aetna members can receive help applying for government assistance programs. To get help with your application, call "My Advocate" at 1-866-706-6757 (TTY: 711). They’re available Monday through Friday, 9 a.m. to 6 p.m. ET. "My Advocate" is a service offered by an independent company.

Or call Social Security at 1-800-772-1213 or TTY: 1-800-325-0778, Monday to Friday, 7 a.m. to 7 p.m.

 

 

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Member

Email us or call Member Services at the number on your ID card.

Not yet a member?

Email us or call ${anCompany} representative at ${dynamicPhone} (TTY: 711), ${nonAepHours}

Disclaimers

Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

Aetna Medicare’s pharmacy network includes limited lower cost, preferred pharmacies in: Urban Mississippi, Urban Virginia, Rural Missouri, Rural Arkansas, Rural Oklahoma, Rural Kansas, Rural Iowa, Rural Minnesota, Rural Montana, Rural Nebraska, Rural North Dakota, Rural South Dakota, Rural Wyoming. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-855-338-7027 (TTY: 711) or consult the online pharmacy directory at https://www.aetnamedicare.com/pharmacyhelp.

This information is not a complete description of benefits. Call ${dynamicPhone} (TTY: 711) for more information. 

Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays.