Extra Help program

E544647

The Extra Help program is a federal assistance initiative that helps low-income Medicare beneficiaries pay for their Medicare Part D prescription drug costs, including premiums, deductibles, and copayments.

All labels observed (2)

Label Occurrences
Extra Help program canonical 1
Low-Income Subsidy 1

How this entity was disambiguated

Statements (48)

Predicate Object
instanceOf Medicare subsidy program
federal assistance program
prescription drug cost assistance program
administeredBy Centers for Medicare & Medicaid Services
Social Security Administration
alsoKnownAs LIS
Low-Income Subsidy
linked to: Extra Help program
applicationThrough Social Security Administration
state Medicaid agencies
appliesTo Medicare Part D prescription drug plans
linked to: Medicare Part D
automaticEnrollmentFrom Medicaid
Medicare Savings Programs
Supplemental Security Income program
beneficiaryCost varies by income level and Extra Help level
benefits elimination or reduction of Part D late enrollment penalty for eligible individuals
help paying Medicare Part D coinsurance
help paying Medicare Part D copayments
help paying Medicare Part D deductibles
help paying Medicare Part D premiums
reduced out-of-pocket prescription drug costs
componentOf Medicare Part D program
linked to: Medicare Part D
costSharingEffect reduces annual Part D deductible
reduces or eliminates Part D plan premiums up to a benchmark amount
reduces out-of-pocket threshold for catastrophic coverage
sets fixed or reduced copayments for covered drugs
country United States
documentationRequired information on income and financial resources
eligibilityCriteria based on income limits
based on resource limits
generally requires residence in the United States
not enrolled in full Medicaid benefits that already cover Part D costs at the same level
requires entitlement to Medicare
fundedBy federal government of the United States
governingAgency U.S. Department of Health and Human Services
hasLevel full Extra Help
partial Extra Help
legalBasis Medicare Prescription Drug, Improvement, and Modernization Act of 2003
penaltyRelief may eliminate Medicare Part D late enrollment penalty for eligible beneficiaries
purpose to improve access to prescription medications for low-income Medicare beneficiaries
to reduce financial barriers to obtaining necessary prescription drugs
relatedTo Medicaid
Medicare Savings Programs
State Pharmaceutical Assistance Programs
requires completion of an Extra Help application unless automatically enrolled
scope outpatient prescription drugs covered under Medicare Part D plans
startDate 2006
targetPopulation Medicare Part D enrollees with limited income and resources
low-income Medicare beneficiaries

How these facts were elicited

Referenced by (2)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medicare Part D hasLowIncomeSubsidy Extra Help program
subject linked to: Part D
Extra Help program alsoKnownAs Low-Income Subsidy
linked to: Extra Help program