Key Takeaways

  • The  Limited Income Newly Eligible Transition (LI NET) Program provides immediate, temporary medication access for Medicare beneficiaries newly receiving Extra Help who lack a prescription drug plan.

  • LI NET has an open formulary and contains all Part D drugs.

  • Our tip sheet explains how LI NET enrollment, payment, and retroactivity works.

The Centers for Medicare & Medicaid Services (CMS) created the LI NET, or Limited Income Newly Eligible Transition, Program to provide immediate medication access for Medicare beneficiaries with Extra Help (also known as the Part D Low-income Subsidy or LIS) not yet enrolled in a Part D plan or a Medicare Advantage (Part C) plan with prescription drug coverage.

This tip sheet explains how LI NET offers temporary coverage for these individuals. It walks through how to help your clients take advantage of this program with information on:

  • Enrolling in LI NET at the pharmacy
  • Troubleshooting problems if the pharmacy system does not recognize the beneficiary's information
  • The LI NET formulary and coverage restrictions
  • Retroactivity of the program
  • Reimbursement of out-of-pocket expenses incurred before, and during, LI NET enrollment