Getting Extra Help Paying for Prescriptions

Low Income Subsidy Premiums for Blue Advantage Plan Year

Medicare provides Part D premium and cost-sharing assistance to beneficiaries who qualify for the program's low income subsidy, also called the LIS. An enrollee’s premium will generally be lower once they receive "Extra Help" from Medicare, if the enrollee joins an Blue Advantage plan with a monthly premium.

If you qualify for "Extra Help", you pay $0 or a reduced monthly premium. The premiums listed are for both medical services and prescription drug benefits (MA-PD plans only).

Premiums listed are for both medical services and prescription drug benefits.

Your level of extra help Blue Advantage Baton Rouge (PPO) Blue Advantage New Orleans (PPO) Blue Advantage North Shore (PPO) Blue Advantage Acadiana (PPO) Blue Advantage NorthWest (PPO) Blue Advantage NorthEast (PPO)
100% $42.80 $42.80 $42.80 $42.80 $42.80 $42.80
75% $50.80 $50.80 $50.80 $50.80 $50.80 $50.80
50% $58.90 $58.90 $58.90 $58.90 $58.90 $58.90
25% $66.90 $66.90 $66.90 $66.90 $66.90 $66.90

Learn more about what information is needed to have your records immediately updated to reflect that you qualify for "Extra Help" (low income subsidy).

Part D sponsors must provide access to Part D drugs at the correct LIS cost-sharing level when presented with evidence of LIS eligibility.
Learn more about CMS' "Best Available Evidence" (BAE) policy.

People with limited incomes may qualify for "Extra Help" to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, copays and/or co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this "Extra Help", contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.


To find out more about Medicaid and its programs, contact:

Louisiana Department of Health
P.O. Box 629
Baton Rouge, LA. 70821-0629
Phone: 1-888-342-6207
www.medicaid.la.gov

Y0132_19-529_ITLU - Last updated 01/30/2020