Medicare Extra Help |

Medicare's "Extra Help" Program

 

The Medicare Extra Help program is for anyone that has Medicare and Medicare Prescription Drug (Part D) coverage, but have limited income and resources such as savings and stocks. This does not include your home or car.

What does Medicare Extra Help cover?

The Extra Help program can save you up to $5,000 each year.  Many people qualify for this savings but don’t know it.

If you qualify for the Extra Help program, you will get help paying for Medicare prescription drug costs that is a part of your Part D coverage such as your monthly premium, yearly deductible, prescription co-payments and coinsurance. This Extra Help also counts toward your out-of-pocket costs.

See if You Qualify for Extra Help

Some people automatically qualify for the Extra Help program and don't need to apply. Medicare will mail you a letter if you automatically qualify for Extra Help.

Your income and resources can change from year to year, so check to see if you qualify for the program if you didn’t receive a letter from Medicare or were previously denied for the Extra Help program.

Apply for Extra Help

Applying for Extra Help is easy. Just complete the Social Security’s application for the Medicare Extra Help program in the following ways.

After you apply, you will get a letter letting you know if you qualify for Extra Help and what you need to do next.

Level of Extra Help (Low Income Subsidy)

Your total monthly plan premium, copays, and deductibles may vary based on the level of Extra Help you receive.

The Low Income Subsidy (LIS) table shows you what your monthly plan premium will be if you get Extra Help.

Please select the document for your plan and county.  If you have questions, call Member Services. We’re here to help.

If you have questions please, contact Member Services.

Apply for Extra Help

Applying for Extra Help is easy. Just complete the Social Security’s application for the Medicare Extra Help program in the following ways.

After you apply, you will get a letter letting you know if you qualify for Extra Help and what you need to do next.

Level of Extra Help (Low Income Subsidy)

Your total monthly plan premium, copays, and deductibles may vary based on the level of Extra Help you receive.

The Low Income Subsidy (LIS) table shows you what your monthly plan premium will be if you get Extra Help.

Please select the document for your plan and county.  If you have questions, call Member Services. We’re here to help.

For HMO Members

Plan CMS# County Low Income Subsidy
Health Net
Healthy Heart (HMO)
H0562 - 009
  • San Francisco
Health Net
Healthy Heart (HMO)
H0562 - 012
  • San Diego
Health Net
Healthy Heart (HMO)
H0562 - 039
  • Yolo
Health Net
Healthy Heart (HMO)
H0562 - 068
  • Alameda & Stanislaus
Health Net
Healthy Heart (HMO)
H0562 - 079
  • Kern
Health Net
Healthy Heart (HMO)
H0562 - 084
  • Placer, Sacramento
Health Net
Healthy Heart (HMO)
H0562 - 090
  • Fresno
Health Net
Ruby Select (HMO)
H0562 - 097
  • San Francisco
Health Net Ruby Select (HMO) H0562 - 103
  • Yolo
Health Net
Ruby Select (HMO)
H0562 - 112
  • Fresno
Health Net
Ruby Select (HMO)
H0562 - 113
  • Alameda
Health Net
Healthy Heart (HMO)
H0562 - 119
  • Imperial
Health Net
Ruby (HMO)
H0562 - 120
  • Santa Clara and Stanislaus
Health Net
Seniority Plus Sapphire (HMO)

H0562 - 122

 

  • Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, Santa Clara and Stanislaus
Health Net Healthy Heart (HMO)

H0562 - 123

 

  • Los Angeles, Orange, Riverside and San Bernadino
Health Net Ruby Select (HMO)

H0562 - 124

 

  • Placer and Sacramento 
Health Net Gold Select (HMO)

H0562 - 125

 

  • Los Angeles and Orange
Health Net Gold Select (HMO)

H0562 - 126

 

  • Riverside and San Bernadino
Health Net
Sapphire Premier (HMO)

H3561 - 002

 

  • Alameda, Fresno, Kern, Los Angeles, Orange, San Diego,San Francisco & Tulare
Health Net
Sapphire Premier (HMO)
H3561 - 004
  • Imperial, Riverside & San Bernardino
Health Net
Sapphire Premier II (HMO)
H3561 - 005
  • Alameda, Fresno, Kern, Los Angeles, Orange, San Diego, San Francisco and Tulare
Health Net
Sapphire Premier II (HMO)
H3561 - 006
  • Imperial, Riverside, and San Bernardino

 

For HMO SNP Members

Plans CMS#    County  Low Income Subsidy
Health Net
Amber I (HMO D-SNP)
H0562 - 055
  • Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco & Tulare
Health Net
Jade (HMO C-SNP)
H0562 - 092
  • Kern, Los Angeles & Orange
Health Net
Jade (HMO C-SNP)
H0562 - 114
  • San Diego
Health Net
Jade (HMO C-SNP) 
H0562 - 118
  • Fresno and San Francisco
Health Net
Seniority Plus Amber II (HMO D-SNP) 
H0562 - 121
  • Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco and Tulane
Health Net
Seniority Plus Amber II Premier (HMO D-SNP) 
H3561 - 001
  • Fresno and Sacramento

If you have questions please, contact Member Services.