EXTRA HELP FOR PRESCRIPTION DRUG COSTS

Extra Help for Prescription Costs: We Can Help You!
If you are on Medicare and have limited income or resources, you may be eligible for extra help with your prescription costs.

You may qualify for a program offered through Social Security that will give you extra help to pay for your prescription drug premiums, deductibles and co-payments.

To Apply for Extra Help, Follow These Easy Steps:

STEP 1

Find out if you are eligible
You may be eligible if:

  • You are single and your annual income is less than $15,500
  • You are married, or a couple living in the same household, and your annual income is less than $20,000
  • You are at or below 150% of the federal poverty level

STEP 2

Fill out and mail an application to the Social Security Administration
FamilyCare can send you the application to complete and mail to the Social Security Administration, or click here for more information from Social Security.

STEP 3

Receive confirmation from Social Security that you have been approved
The Social Security Office will notify you in writing if you are approved to receive Low Income Subsidy or "extra help" for Prescription Drug Benefits. Once you receive approval from Social Security, you have 30 days to select a plan with Prescription Drug Coverage.

STEP 4

Choose a Medicare Advantage Plan with Prescription Drug Coverage
Call our Portland-based FamilyCare Medicare experts to determine which plan best fits your health care needs.

If Your Level of Extra Help Is:

Your Monthly Premium for PremierCare Choice Rx Is:*

Your Annual Deductible Is:

Your Prescription Co-pays for Covered Drugs Is:

100%

$0

$0

$2.25 Generic
$5.60 Brand

75%

$6

$56

15%

50%

$12

$56

15%

25%

$18

$56

15%

*This does not include any Medicare Part B premium you pay.

Call us and we will help you!
To see if you qualify for getting extra help, call:

FamilyCare Health Plans
1-866-225-CARE (2273)
TTY 1-800-735-2900
Monday – Friday, 8 a.m. to 8 p.m.

1-800-MEDICARE (1-800-633-4227)
TTY/TDD users should call 1-877-486-2048
24 hours a day/7 days a week

Social Security Administration
1-800-772-1213 between 7 a.m. and 7 p.m.
TTY/TDD users should call 1-800-325-0778 or your State Medicaid Office.

For the most up-to-date and accurate information on your prescription drugs costs, please click here.