Skip to main content
Understanding Medicare

What is the Medicare Extra Help Program?

October 26, 2021
Share This Story

At Commonwealth Care Alliance® (CCA), we believe that our members should have access to the care they need. But we know healthcare can be expensive—especially for those on a fixed income. That’s why we want you to know that you may qualify for Extra Help to help pay for your prescription costs and lower your monthly plan payment.

What is Extra Help?

Extra Help is a government program for people who have a limited income. If you qualify for Extra Help, you could pay a lower copayment for your prescription drugs. Based on your income, you could save up to $5,000 a year on your prescriptions.1

How do you qualify for Extra Help?

To start, answer these 2 questions.

  1. Are you enrolled in Medicare Part A and Part B and is your monthly income below $1,630 in 2021 ($2,198 for couples)?
  2. Are you enrolled in Medicaid, Supplemental Security Income (SSI), or a Medicare Savings Program (MSP)?

 If you answered YES to any of these questions, you may qualify for Extra Help.

When can you enroll for coverage if you qualify for Extra Help?

If you qualify for Extra Help, your status will trigger a Special Enrollment Period (SEP) and you can enroll or switch to a CCA Medicare (PPO) plan during either:

OR

Once we know you qualify for Extra Help, see how much less you could pay

When you’re approved for Extra Help, you may pay a lower copayment for your prescriptions AND a lower monthly payment for a CCA Medicare plan.

This chart shows you an example of some of the lower costs you’ll benefit from with our CCA Medicare Value (PPO) plan depending on your income.

Table that outlines CCA Medicare Value Costs With and Without the Extra Help Program

Find out if you qualify for Extra Help:

To learn more about the Extra Help program, visit SSA.gov and search “Extra Help” OR call Social Security at 800-772-1213 (TTY 800-325-0778), from 7 am to 7 pm, Monday-Friday.

Want to learn more about CCA Medicare plans?

Our CCA Medicare Value plan provides a range of benefits to help you stay healthy and live independently at home, including:

Once you’re enrolled in Extra Help, you may get these CCA Medicare Value plan benefits for a reduced monthly plan payment based on your level of subsidy.

1www.ssa.gov/benefits/medicare/prescriptionhelp.html

*You may need to continue to pay your Medicare Part B premium.

**Some extra benefits are special supplemental benefits, which not all members will qualify for. Limitations, copayments, and restrictions may apply. Contact the plan for more information. Costs may vary depending on network, plan type, product or service.

Commonwealth Care Alliance® (CCA) Medicare Value (PPO) is a health plan with a Medicare contract. Enrollment in the plan depends on contract renewal. CCA complies with applicable Federal civil rights laws and does not discriminate on the basis of, or exclude people or treat them differently because of, medical condition, health status, receipt of health services, claims experience, medical history, disability (including mental impairment), marital status, age, sex (including sex stereotypes and gender identity), sexual orientation, national origin, race, color, religion, creed, public assistance, or place of residence. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 833-346-9222 (TTY 711).

Share This Story

Related Articles

We’re Here to Support You

866-610-2273 (TTY 711)
8:00 am to 8:00 pm, 7 days a week