If you qualify for extra help, Low Income Subsidy (LIS), to pay for your prescription drug costs, Medicare could also pay 75% or more of your Plan Premium, annual deductibles and co-insurance (if applicable).
Additionally, those who qualify won’t have a coverage gap or a late enrollment penalty.
To qualify, your yearly income is limited to $18,735 for an individual or $25,365 for a married couple living together.
2019 LIS Chart
To qualify, your yearly income is limited to $(pending amount) for an individual or $(pending amount) for a married couple living together.
2020 LIS Chart
If your income and resources are slightly higher, you should still apply. You may still qualify if you meet one of the following conditions:
- You or your spouse support other family members who live with you.
- You or your spouse have earnings from work.
- You or your spouse live in Alaska or Hawaii.
If you currently have an Employer/Union health plan or a State Pharmacy Assistance Program (SPAP) it will not affect the help you receive paying for the prescriptions drugs.
The above charts show you what your monthly plan premium will be if you get this subsidy. The premiums listed above include both your medical and prescription drug coverage.
If you aren't getting extra help, you can see if you qualify by calling Member Services.
Additionally, you may verify the details of qualification for extra help as well as review more information on extra help at the .
You may also call the following organizations to see if you qualify:
- Medicare: (800) Medicare or (800) 633-4227
TTY/TDD: (877) 486-2048, 24 hours a day/7 days a week.
- Social Security Administration: (800) 772-1213
TTY/TDD: (800) 325-0778, 7:00 a.m. - 7:00 p.m., Monday to Friday.
- Utah’s Medicaid office: (801) 538-6155 (Salt Lake City area); (800) 662-9651 (other parts of state)
Monday to Wednesday 7:00 a.m. - 12:00 p.m. and 1:00 p.m. - 6:00 p.m. and Thursday 11:00 a.m. - 2:00 p.m. www.health.utah.gov/medicaid
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