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Help With Prescription Drug Costs

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What you need to know ...

Have limited income? Social Security can help with prescription costs.

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You can still sign up for a Medicare Prescription Drug plan and pay no penalty for 2006 if you qualify for extra help with Medicare prescription drug costs. Medicare beneficiaries eligible for the extra help have a special enrollment period that allows them to enroll in a plan between May 15 and December 31. Medicare beneficiaries are eligible for the extra help if they have limited income and resources. The extra help can increase your cost savings by paying for part of the monthly premiums, annual deductibles and prescription co-payments under the new prescription drug program. The extra help could be worth an average of $3,700 per year.

The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (P.L. 108-173), enacted December 8, 2003, requires the Social Security Administration (SSA) to undertake a number of additional Medicare-related responsibilities. SSA and the Centers for Medicare & Medicaid Services (CMS) are working together to provide persons with limited income and resources extra help paying for their prescription drugs. Social Security's role in this partnership is to help the public understand how they may qualify and apply.

Apply Online:

Whether you're filing on your own behalf or helping someone file the application, submit the Internet application to us right away to avoid delaying the extra help.
 

Additional Resources
You may qualify for other programs to help you purchase your prescriptions. Below, are additional web sites with calculators and other tools designed to help you make informed decisions when it comes to managing your prescription drug costs.

 

 

 

 

SSA-1020

Sample: Application for Help with Medicare Prescription Drug Plan Costs, Get Acrobat reader SSA-1020. Instruction sheets are available in 15 different languages to help you understand the English application. The instructions are to be used as guides and cannot be used as applications. Arabic, Armenian, Chinese, Farsi, French, Greek, Haitian-Creole, Italian, Korean, Polish, Portuguese, Russian, Spanish, Tagalog, Vietnamese

The actual applications are available only in English and Spanish. You must complete either an English or Spanish scannable paper application or you can apply online (English only).

 

SSA-1021

Form to appeal the decision we made about your eligibility for help with Medicare prescription drug plan costs.  

SSA-L1026

Sample of the Medicare prescription drug assistance notice of review.
Please note:
The notice you will receive will be tailored to your personal situation and will not be identical to this sample. (English and Spanish PDF)
 

SSA-1026

Form to review your continuing eligibility for extra help with Medicare Prescription Drug plan costs. (English and Spanish PDF)  

Prescription Help Publications

 

CMS Redetermination Issues

If you automatically qualified for extra help last year, but no longer automatically qualify, visit http://www.cms.hhs.gov/MyHealthMyMedicare/ for more information.

 

Video Resources

Informational Video about Help Available to Pay Costs of Medicare's New Prescription Drug Program
 

 

The Official U.S. Government Site for People with Medicare

Medicare Website

Although Social Security determines entitlement to Medicare benefits, the Medicare program is administered by a different agency, the Centers for Medicare & Medicaid Services (CMS). There also is a Medicare Web site. You can call 1-800-MEDICARE (1-800-633-4227) to speak to a Medicare Customer Service Representative. TTY users should call 1-877-486-2048.

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Last reviewed or modified Thursday Oct 26, 2006
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