Help for Beneficiaries with Limited Income (LIS)
See if you qualify for Low Income Subsidy (LIS) to help pay for your prescription costs.
What is LIS?
People with limited income may qualify for Low Income Subsidy (LIS), also called “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, and 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 “Extra Help”, contact your local Social Security Office or call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.
LIS Premium Summary
If you get “Extra Help” from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get “Extra Help” from Medicare. The amount of “Extra Help” you get will determine your total monthly plan premium as a member of the plan.
*This does not include any Medicare Part B premium you may have to pay.
MMM of Florida’s premium includes coverage for both medical services and prescription drug coverage.
2019 LIS Premium Summary Table
This table shows you what your monthly plan premium will be if you get “Extra Help”.
| Your level of extra help | MMM ELITE DADE (HMO) MMM ELITE (HMO) MMM EXTRA (HMO) | Monthly Premium for MMM PLATINUM (HMO-SNP) MMM MORE (HMO-SNP) |
|---|---|---|
| 100% | $ 0.00 | $ 0.00 |
| 75% | $ 0.00 | $ 7.50 |
| 50% | $ 0.00 | $ 14.20 |
| 25% | $ 0.00 | $ 21.40 |
| No Extra Help | $ 0.00 | $ 28.50 |
Best Available Evidence (BAE)
The Centers for Medicare and Medicaid Services (CMS) makes it easy to get the latest information about Best Available Evidence (BAE) policy. These policies address cost-sharing for low-income beneficiaries. To learn more, click here.
Contacts
You may also contact:
- Centers for Medicare & Medicaid Services
Website: www.medicare.gov
Telephone: 1-800-633-4227 (Toll free), 1-877-486-2048 TTY
Service hours: 24 hours a day, seven days a week - Social Security Administration
Website: www.ssa.gov
Telephone: 1-800-772-1213 (Toll free), 1-800-325-0778 TTY
Service hours: Monday through Friday, 7 a.m. to 7 p.m. - Department of Children and Families (DCF)
Florida Partner Website: www.myflorida.com/accessflorida
Telephone: 1-866-762-2237, 1-800-955-8771 or 1-800-955-8770 TTY
What is LIS?
People with limited income may qualify for Low Income Subsidy (LIS), also called “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, and 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 “Extra Help”, contact your local Social Security Office or call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.
LIS Premium Summary
If you get “Extra Help” from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get “Extra Help” from Medicare. The amount of “Extra Help” you get will determine your total monthly plan premium as a member of the plan.
*This does not include any Medicare Part B premium you may have to pay.
MMM of Florida’s premium includes coverage for both medical services and prescription drug coverage.
2019 LIS Premium Summary Table
This table shows you what your monthly plan premium will be if you get “Extra Help”.
| Your level of extra help | MMM ELITE DADE (HMO) MMM ELITE (HMO) MMM EXTRA (HMO) | Monthly Premium for MMM PLATINUM (HMO-SNP) MMM MORE (HMO-SNP) |
|---|---|---|
| 100% | $ 0.00 | $ 0.00 |
| 75% | $ 0.00 | $ 7.50 |
| 50% | $ 0.00 | $ 14.20 |
| 25% | $ 0.00 | $ 21.40 |
| No Extra Help | $ 0.00 | $ 28.50 |
Best Available Evidence (BAE)
The Centers for Medicare and Medicaid Services (CMS) makes it easy to get the latest information about Best Available Evidence (BAE) policy. These policies address cost-sharing for low-income beneficiaries. To learn more, click here.
Contacts
You may also contact:
- Centers for Medicare & Medicaid Services
Website: www.medicare.gov
Telephone: 1-800-633-4227 (Toll free), 1-877-486-2048 TTY
Service hours: 24 hours a day, seven days a week - Social Security Administration
Website: www.ssa.gov
Telephone: 1-800-772-1213 (Toll free), 1-800-325-0778 TTY
Service hours: Monday through Friday, 7 a.m. to 7 p.m. - Department of Children and Families (DCF)
Florida Partner Website: www.myflorida.com/accessflorida
Telephone: 1-866-762-2237, 1-800-955-8771 or 1-800-955-8770 TTY