Extra Help Comparison Chart

Here we outline the income requirements and copays that fall under Extra Help. To learn more, visit here.

If you have Medicaid and/or Medicare Savings Program:
You are enrolled in... And your income is... Then you get... Your 2017 copays are...
Medicaid Up to $1010 ($1,355 for couples) per month in 2017 Full Extra Help $0 premium and deductible $1.20 generic copay $3.70 brand-name copay No copay after $4,950 in out of pocket drug costs
Medicaid and/or the Medicare Savings Program Above $1010 ($1,355 for couples) per month in 2017 Full Extra Help $0 premium and deductible $3.30 generic copay $8.25 brand-name copay No copay after $4,950 in out of pocket drug costs

If you have Medicare Only:
And your income is... And your assets are... Then you can get...  Your 2017 copays are...
Up to $1,356 ($1,822 for couples) per month in 2017 Up to $8,890 ($14,090 for couples) in 2017 Full Extra Help $0 premium and deductible $3.30 generic copay $8.25 brand-name copay No copay after $4,950 in out of pocket drug costs
Below $1,505 ($2,022 for couples) per month in 2017
  • And your income and/or assets are above Full Extra Help Limits
 Up to $13,820 ($27,600 for couples) in 2017
  • And your income and/or assets are above Full Extra Help Limits
 Partial Extra Help Premium depends on your income $82 deductible or the plan's standard deductible, whichever is cheaper. 15% coinsurance or the plan copay, whichever is less After $4,950 in out of pocket drug costs, you pay $3.30/generic and $8.25/brand-name or 5% of the drug cost, whichever is greater.