Skip to main content

Extra Help Paying for Prescriptions

Get help paying for your Medicare prescription drug costs 

The 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
  • Have the chance to switch plans at any time

In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple) and up to $13,640 in resources ($27,250 for a married couple).

Learn More about Extra Help 

How to apply for Extra Help 

Apply online

Or call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778).

Aetna members can receive help applying for Extra Help. Call "My Advocate" at 1-866-706-6757 (TTY: 711), Monday through Friday, 9 a.m. to 6 p.m. ET, to get help with your application. "My Advocate" is a service offered by an independent company.

Premium for Aetna members with Extra Help

You pay a lower plan premium if you qualify for Extra Help. The level of Extra Help you get determines your monthly plan premium. 

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

* State
* County
* Plan

Aetna Medicare is a PDP, 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.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year.

You must continue to pay your Medicare Part B premium. 

The Part B premium is covered for full-dual members (those who have both Medicare and Medicaid, and meet the state’s requirements for full Medicaid benefits).  

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. 

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

This information is available for free in other languages. Please call our customer service number at 1-800-282-5366 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. from October 1 to February 14 and Monday through Friday, from 8 a.m. to 8 p.m. from February 15 to September 30.

Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con Servicios al Cliente al 1-800-282-5366 (TTY: 711). Horario de atención: de 8 a.m. a 8 p.m., los siete días de la semana, del 1 de octubre al 14 de febrero, y de 8 a.m. a 8 p.m., de lunes a viernes, del 15 de febrero al 30 de septiembre.

本資訊也有其他語言的免費版本可供選擇。請致電 1-800-282-5366 與我們的客戶服務部聯絡以瞭解更多資訊。 (聽障人士請致電 711辦公時間為每週 7 天、當地時間上午 8 時至晚間 8 時。 

       Y0001_M_OT_WB_30760 CMS Approved

       Page last updated: Jun 05, 2016

You are now leaving the Aetna website
Continue >

No message set yet

You are now leaving the Aetna Medicare website.

The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, please click Cancel.

Cancel Continue
You are now leaving our Medicare website.

You are leaving our Medicare website and going to our non-Medicare website. If you do not intend to leave our site, please click Cancel.

 

Cancel Continue