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Extra Help. Do you have Medicare? Do you live on a limited income? Do you need help to pay for your prescriptions?

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(1)

Extra Help

Area Agency on Aging of Central Texas

1-855-937-2372

Do you have Medicare?

Do you live on a limited income?

Do you need help to pay

for your prescriptions?

(2)

If so…

you may qualify for the Medicare Low Income

Subsidy (LIS) Program…

also known as Extra Help.

Extra Help

Area Agency on Aging of Central Texas

1-855-937-2372

(3)

How the LIS Program can help you…

If you APPLY and QUALIFY for the LIS Program:

1. Y ou may not have to pay your Medicare Part D premiums, deductibles, co-payments.

2. Y our prescriptions will be discounted.

Extra Help

Area Agency on Aging of Central Texas

1-855-937-2372

(4)

Income and resource limits have changed!

If you did not qualify before, you might qualify now.

Find out …call us today!!!

1-855-937-2372

Extra Help

Area Agency on Aging of Central Texas

1-855-937-2372

(5)
(6)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

The State of Texas can help you pay your Medicare premiums.

In some cases, these savings programs may also pay Medicare

Part A (hospital insurance) and Medicare Part B (medical insurance)

if you meet certain conditions.

(7)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

The Medicaid-sponsored Medicare Savings Programs (MSP) may pay

• Medicare Premiums

• Deductibles

• Co-insurance Amounts

for eligible Medicare beneficiaries.

These programs allow you to better direct your savings to cover health

care expenses.

(8)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

There are 4 kinds of Medicare Savings Programs:

1. QMB (Qualified Medicare Beneficiary) 2. SLMB (Specified Low-Income

Medicare Beneficiary) 3. QI (Qualifying Individual)

4. QDWI (Qualified Disabled Working

Individuals)

(9)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

QMB (Qualified Medicare Beneficiary) Program helps pay for:

• Part A premiums

• Part B premiums

• Deductibles

• Co-insurance

• Co-Payments

Program Gross Monthly Income Limit

Countable Resource Limit Individual Couple Individual Couple QMB $1,001 $1,348 $7,280 $10,930

(10)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

SLMB

(Specified Low-Income Medicare Beneficiary)

Program helps pay for:

• Part B premiums only

Program Gross Monthly Income Limit

Countable Resource Limit Individual Couple Individual Couple SLMB $1,197 $1,613 $7,280 $10,930

(11)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

QI (Qualifying Individual) Program helps pay for Part B premiums only.

Program Gross Monthly Income Limit

Countable Resource Limit Individual Couple Individual Couple QI $1,345 $1,813 $7,280 $10,930

(12)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

QDWI (Qualified Disabled Working Individuals)

Program helps pay the Part A premium. You may qualify if ANY of these apply to you:

 You’re a working disabled person under 65.

 You lost your premium-free Part A when you went back to work.

 You are not receiving medical assistance from the state.

 You meet the income and resource limits required by the state.

Program Gross Monthly Income Limit

Countable Resource Limit Individual Couple Individual Couple QDWI $1,962 $2,655 $4,000 $6,000

(13)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

If you qualify for QMB, SLMB, OR QI, you

automatically qualify for the Extra Help Program paying

for Medicare prescription drug coverage.

Income and resource amounts

may increase in 2016.

(14)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

Countable resources include:

1. Bank accounts 2. Stocks/Bonds

3. Property (other than your home)

4. Life insurance

(15)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

Countable resources do not include:

1. Your home 2. One vehicle 3. Burial plot

4. Up to $1,500 for burial expenses (if you have already put that money aside)

5. Life insurance with a cash value of less than $1,500

6. Furniture

7. Other household and personal items

(16)

Medicare Savings Programs

Area Agency on Aging of Central Texas

1-855-937-2372

How do I apply for

these Medicare Savings Programs?

It’s easy….just call us!!

1-855-937-2372

(17)
(18)

Yearly Medicare Review

Area Agency on Aging of Central Texas

1-855-937-2372

Your opportunity to review your health and

prescription drug plan options for the

following year begins

October 15 th !

(19)

Yearly Medicare Review

Area Agency on Aging of Central Texas

1-855-937-2372

Each year there are new health and

prescription drug

plan choices.

(20)

Yearly Medicare Review

Area Agency on Aging of Central Texas

1-855-937-2372

We can help you locate plans that may:

• Cost less

• Cover your drugs

• Let you go to the providers

you want, like your doctor

or pharmacy

(21)

Yearly Medicare Review

Area Agency on Aging of Central Texas

1-855-937-2372

During the Medicare Open Enrollment period

(Oct 15 – Dec 7), we can help you review and compare your current health and prescription

drug plan with those

plans offered in 2016.

(22)

Yearly Medicare Review

Area Agency on Aging of Central Texas

1-855-937-2372

Important Dates:

Oct 15:

Medicare Open Enrollment begins

Dec 7: Medicare Open Enrollment ends

Jan 1: Coverage begins

Call us, we can answer your questions!

1-855-937-2372

(23)

Your Point of Access for Information and Assistance

Area Agency on Aging of Central Texas

1-855-937-2372

Let us help you

navigate the Medicare and Medicaid

paperwork.

Call us today!

1-855-937-2372

(24)

References

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