Extra Help From Medicare
Extra Help Can Help Cut Costs
You can qualify for Extra Help if you are eligible for Medicaid, as well as Medicare. You also may qualify if your yearly income is $22,590 or less if you are single with no dependents, or $30,660 or less if you are married and living with your spouse with no dependents, and your resources are less than $17,600 if single or $35,130 if you are married and living with your spouse.
If you live in Alaska or Hawaii, or pay at least half of the living expenses of dependent family members, income limits are higher.
For additional information on copays and premiums for those who qualify for Extra Help from Medicare, please contact Capital Health Plan Medicare Sales at (850) 518-6679 or 1 (877) 247-6512.
To see if you qualify for Extra Help, call:
- 1-800-MEDICARE (1-800-633-4227). TTY users should call 1 (877) 486-2048, this service is available 24/7.
- Social Security at 1 (800) 772-1213, between 8:00 a.m. and 7:00 p.m. local time, Monday through Friday. TTY users should call 1 (800) 325-0778.
- Your State Medicaid Office
You can also review online documents to see if you qualify for Extra Help, from:
- Extra Help: Medicare.gov
- Best Available Evidence
You can find additional information for the Extra Help program for specific Medicare plans below:
If you believe you have qualified for Extra Help and you feel you are paying an incorrect cost-sharing amount when you get your prescription at a pharmacy, our plan has established a process that allows you to either request assistance in obtaining evidence of your proper copayment level, or to provide this evidence to us if you already have it. For additional information, please contact Capital Health Plan Medicare Member Services or see the link above for “Best Available Evidence.”
LIS Income and Resource Limits
| Your Level of Extra Help | Monthly Premium for CHP Silver Advantage* | Monthly Premium for CHP Advantage Plus* | Monthly Premium for CHP Preferred Advantage* |
|---|---|---|---|
|
100% |
$0 |
$20.50 |
$65.70 |
*This does not include any Medicare Part B premiums you may have to pay. CHP Advantage Plus and CHP Preferred Advantage premiums include coverage for both medical and prescription drug coverage.
Capital Health Plan Silver Advantage (HMO), Advantage Plus (HMO), Preferred Advantage (HMO), and Retiree Advantage (HMO) are HMO plans with a Medicare contract. Enrollment in Capital Health Plan Silver Advantage, Advantage Plus, Preferred Advantage, and Retiree Advantage depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
If you have questions, please call Member Services at (850) 523-7441 or 1 (877) 247-6512 8:00 a.m. – 8:00 p.m., seven days a week, October 1 – March 31; 8:00 a.m. – 8:00 p.m., Monday – Friday, April 1 – September 30. State of Florida members call 1 (877) 392-1532, 7:00 a.m. – 7:00 p.m. TTY/TTD (850) 383-3534 or 1 (877) 870-8943.