Key Takeaways

  • The Part D Low-Income Subsidy (LIS/Extra Help) can save Medicare beneficiaries thousands of dollars on prescriptions each year.

  • There are two levels of LIS/Extra Help, full and partial, whose eligibility criteria are contained in this chart.

  • The Social Security Administration (SSA) estimates that Extra Help has an average annual value of $5,000.

The Medicare Part D Low Income Subsidy, sometimes referred to as LIS or Extra Help, assists people with limited incomes and resources with paying for their prescriptions. Extra Help pays for a Medicare beneficiary's plan premium (up to a certain, or benchmark, amount) and at the pharmacy, people pay no more than $10 for their medications.

Extra Help is administered by the Social Security Administration (SSA) in collaboration with Medicare. SSA estimates that Extra Help has an average annual value of $5,000.

There are two levels of Extra Help: Full and Partial. Income eligibility is the same throughout the country, with slightly higher levels for Alaska and Hawaii. People who receive Medicaid, a Medicare Savings Program, or Supplemental Security Income (SSI) will be automatically enrolled into Extra Help.

Discover what the income and asset eligibility thresholds are for the Part D Low Income Subsidy/Extra Help in 2022 in this handy chart. This 2022 chart also includes what Medicare beneficiaries with LIS/Extra Help will pay for their prescriptions at the pharmacy.

Contact us if you would like to obtain a Word version of this chart for use/adaptation in training.