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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 Medicare and Medicaid and/or a 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.