Medicare Drug Coverage:
Extra Help

How does the low-income premium subsidy work for beneficiaries who choose to enroll in an enhanced Part D plan?

Exactly what qualifies an individual as a "full dual"?

If a Medicare beneficiary qualifies for Medicaid but is not yet enrolled, what is the process for enrolling the individual in Medicaid as well as verifying that s/he is "deemed eligibile" for the low-income subsidy?

Are applications for LIS (extra help) available on line?

What is the process if multiple LIS applications are submitted for the same individual?

When will someone who was found entitled to a Medicare Savings Program (QMB, SLMB, or QI) be deemed eligible for LIS?

How long does it take for an LIS recipient who had to pay full price to fill prescriptions to get reimbursed after submitting a request? Is the request treated like a coverage determination, or is there an informal process? Will the beneficiary be told by the plan whether and when s/he will be reimbursed?

What is the process for those who were eligible for and received LIS last year to continue to receive the subsidy?

Which beneficiaries are considered low-income to get help with the cost-sharing requirements of the Medicare drug coverage?

Who is eligible to receive extra help with their prescription drug costs?

Which sources of income count in determining eligibility for the low-income subsidies?

Which resources count in determining eligibility for the low-income subsidies?

How should a low-income beneficiary decide where to apply for the low-income subsidies: the state Medicaid agency or the Social Security Administration?

Can low-income beneficiaries switch Medicare drug plans at any time?

What happens to Medicare beneficiaries who are medically needy or spend-down their surplus income to receive full Medicaid benefits?

References

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