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 |
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| 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 |
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| 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
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Up to $13,820 ($27,600 for couples) in 2017
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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. |