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Medicare > Important Plan Information > Extra Help For Prescription Drug Costs
Extra Help for Prescription Drug Costs
We can help you!
If you are on Medicare and have limited income or resources, you may be eligible for extra help with your prescription costs.

You may qualify for a program offered through Social Security that will give you extra help to pay for your prescription drug premiums, deductibles and co-payments.

To apply for extra help, follow these easy steps:

STEP 1

Find out if you are eligible
You may be eligible if:

  • You are single and your annual income is less than $16,245
  • You are married, or a couple living in the same household, and your annual income is less than $21,855
  • You are at or below 150% of the federal poverty level

STEP 2

Fill out and mail an application to the Social Security Administration.
FamilyCare can send you the application to complete and mail to the Social Security Administration, or click here for more information from Social Security.

STEP 3

Receive confirmation from Social Security that you have been approved.
The Social Security Office will notify you in writing if you are approved to receive Low Income Subsidy or "extra help" for Prescription Drug Benefits. Once you receive approval from Social Security, you have 30 days to select a plan with Prescription Drug Coverage.

STEP 4

Choose a Medicare Advantage Plan with Prescription Drug Coverage
Call our Portland-based FamilyCare Medicare experts to determine which plan best fits your health care needs.

If Your Level of Extra Help Is:

Your Monthly Premium for PremierCare Choice Rx Is:*

Your Annual Deductible Is:

Your Prescription Co-pays for Covered Drugs Is:

100%

$0

$0

$2.50 Generic
$6.30 Brand

75%

$8.90

$63

15%

50%

$17.80

$63

15%

25%

$26.70

$63

15%

*This does not include any Medicare Part B premium you pay.

For the most up-to-date and accurate information on your prescription drugs costs, please click here.

Medicare > Important Plan Information > Extra Help For Prescription Drug Costs
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