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Extra Help Comparison Chart

Extra Help Comparison Chart

If you have Medicare and Medicaid and/or a Medicare Savings Program

You are enrolled in…

Medicaid

And your income is…

Up to $1032 ($1,392 for couples) per month in 2018

Then you get…

 Full Extra Help
$0 premium and deductible

Your 2018 copays are…

$1.20 generic copay
$3.70 brand-name copay
No copay after $5,000 in out of pocket drug costs

You are enrolled in…

Medicaid and/or the Medicare Savings Program

And your income is…

Above $1032 ($1,392 for couples) per month in 2018

Then you get…

Full Extra Help
$0 premium and deductible

Your 2018 copays are…

$3.30 generic copay
$8.25 brand-name copay
No copay after $5,000 in out of pocket drug costs

 

If you have Medicare Only

And your income is…

Up to $1,366 ($1,852 for couples) per month in 2018

And your assets are…

Up to $9,060 ($14,340 for couples) in 2018

Then you can get…

Full Extra Help
$0 premium and deductible

Your 2018 copays are…

$3.30 generic copay
$8.25 brand-name copay
No copay after $5,000 in out of pocket drug costs
15% coinsurance or the plan copay, whichever is less

And your income is…

Below $1,517.50 ($2,057.50 for couples) per month in 2018 And your income and/or assets are above Full Extra Help Limits

And your assets are…

Up to $14,100 ($28,150 for couples) in 2018 And your income and/or assets are above Full Extra Help Limits

Then you can get…

Partial Extra Help
Premium depends on your income
$82 deductible or the plan’s standard deductible, whichever is cheaper.

Your 2018 copays are…

After $5,000 in out of pocket drug costs, you pay $3.30/generic and $8.25/brand-name or 5% of the drug cost, whichever is greater.