Extra Help is a Medicare program to help people with limited income and resources pay Medicare prescription drug costs. You may qualify for Extra Help, also called the low-income subsidy (LIS) if your yearly income and resources are below the following limits in
2022: These amounts may change each year. You may qualify even if you have a higher income (like if you still work, live in Alaska or Hawaii, or have dependants living with you). Resources include money in a checking or savings account, stocks,
bonds, mutual funds, and Individual Retirement Accounts (IRAs). Resources don’t include your home, car, household items, burial plot, up to $1,500 for burial expenses (per person), or life insurance policies. If you qualify for Extra Help and join a Medicare drug plan, you will get the following: Indiana helps eligible, low-income beneficiaries pay for Medicare with the Medicaid program. You may be eligible depending on your income and the value of things you own (2022): Assets are things you own, such as checking and savings accounts, certificates of deposit, cash value of life insurance, stocks and bonds. Some things you own don't count toward your asset limit, such as your home and furnishings, your car, burial plots, and, at least $1,500 in life insurance. These limits are guidelines. The only way to know for sure if you are eligible is to apply. Back to top Application InformationYou may visit or call your local Office of Family and Children to apply for Medicare Buy-In. You will need to complete an application form and participate in an interview. The interview can take place in person or over the telephone. Within 45 days, you will receive a notice in the mail that tells you whether your application was approved. Click here for the application. For more information about enrollment centers or Medicaid call:
If your application is denied, you have the right to appeal within 30 days of the denial. You may contact your local Area Agency on Aging or Senior Law Project for assistance with appeals. Local Agency ContactsView a complete list of agency contacts. Back to top Prescription Drug Plan OptionsThere are a variety of prescription drug plans to choose from. These plans include:
Standard Part D Benefit
View a complete list of $0 Premium LIS Qualified Plans in Indiana for 2022 Medicare Prescription Drug PlansPeople with Medicare can enroll in a Medicare prescription drug plan and receive extra help paying for the premiums, deductibles, gaps in coverage and co-pays. The 2022 resource limits are $9,900 ($15,510 if married) for the full low-income subsidy. Hoosier RxIndiana's State Pharmaceutical Assistance Program, HoosierRx, can help pay the monthly Part D premium, up to $70 per month, for members enrolled in a Medicare Part D Plan working with HoosierRx. To be eligible for HoosierRx, you must:
If you think you meet the eligibility requirements, please call a HoosierRx representative at 1-866-267-4679 or visit the HoosierRx website at https://www.in.gov/medicaid/members/194.htm. VA Prescription BenefitIf you are an honorably discharged veteran, consider using your VA drug benefit ($8 per prescription per month). Veteran can use the VA drug benefit by mail order for their monthly maintenance drugs and still use Medicare Part D for other prescriptions. To apply, call 1-877-222-8387. Low Cost DrugsSeveral national pharmacies have announced they are drastically reducing the cost of generic prescription drugs. Meijer boasts no cost for generic antibiotics. Target, Wal-Mart and Sam's Club charge $4 for generic drugs, but the list includes more than antibiotics. For a complete listing of what each pharmacy offers, log onto their respective Web sites
Pharmaceutical Manufacturers Association Free Medications DirectoryMany pharmaceutical companies have programs which provide free or low cost medications to those in need regardless of age. Most of these programs require that you:
The application process is different for each company. Usually a doctor must sign your completed application form and have his/her office submit it for you. Rx for Indiana can provide assistance with matching your prescriptions with these assistance programs. Contact Rx for Indiana at 1-877-483-9275. Visit the Rx for Indiana website. Trained SHIP counselors at sites throughout Indiana can also guide you in getting and completing applications from drug companies. Finding Help with Prescriptions Guide"Finding Help with Prescriptions" Guide is a free publication. It provides helpful information for lowering your prescription costs including low-income assistance, patient assistance programs, mail order prescription services, veterans pharmacy benefits, and Community Health Centers. To request a copy, call SHIP free of charge (800) 452-4800 or email . |