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Extra Help with Part D Costs for People with Low Income

California Health Advocates > Prescription Drugs > Extra Help with Part D Costs for People with Low Income

In 2006, Medicare began providing prescription drug coverage called Medicare Part D. Medicare also provides extra help with the cost of prescription drugs for those who qualify. This is known as the Low-Income Subsidy (LIS) program.

Benefits of the Medicare Part D Extra Help/Low-Income Subsidy (LIS) Program

The Low-Income Subsidy (LIS) program helps pay for a portion of Part D prescription drug plan costs, including Part D premiums, deductibles and copayments. Depending on your income and assets, you may qualify for the full subsidy or a partial subsidy. All beneficiaries who qualify for the LIS program are permitted to change Part D plans once a quarter for the first 3 quarters with an effective date of change being the first of the following month. In addition, one change can be made in the last quarter of the year, with the effective date being January 1. Beneficiaries who have been identified as “at risk” for opioid abuse, may be further restricted from changing plans.

In this section:

  1. How to Qualify for Extra Help/Low-Income Subsidy (LIS) with Part D Costs

  2. How to Apply for Extra Help with Part D Costs

  3. Benchmark Prescription Drug Plans

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Do you have comments or concerns about your Medicare coverage? Issues regarding getting your needed prescriptions from your Part D plan, or a Medicare Advantage plan representative's marketing practices? Let us know at comments@cahealthadvocates.org.

We are dedicated to making Medicare's program work well for all beneficiaries. Your feedback from your own or your client's concerns and experiences with Medicare, will guide our Medicare advocacy efforts with key policy and decision-makers in both California and nationally with the Centers for Medicare and Medicaid Services (CMS) and Congress.

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