Extra Help From Medicare

You can qualify if you are eligible for Medicaid as well as Medicare. You also may qualify if your yearly income is $18,735 or less if you are single with no dependents, or $25,365 or less if you are married and living with your spouse with no dependents, and your resources are less than $14,390 if single or $28,720 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.

Other locations on the website with the extra help info: 

To see if you qualify for Extra Help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7days a week.
  • Social Security at 1-800-772-1213, between 7:00 a.m. and 7:00 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or
  • Your State Medicaid Office
  • Best Available Evidence

If you believe you have qualified for Extra Help and you believe 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 Member Services or see the link above for "Best Available Evidence."