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Extra Help with Medicare drug costs

A federal program that can bring prescription costs down to a few dollars.

Extra Help, also called the Low-Income Subsidy (LIS), helps people with limited income and resources pay for Part D. It can cover your drug plan premium (up to a set amount) and deductible, and caps what you pay for each prescription.

Reviewed by Joshua H. Pannell, Licensed Insurance Agent (SC license #400481) ·

Who qualifies in 2026

Since 2024, full Extra Help has been available up to 150% of the federal poverty level; the old partial-subsidy tier ended. Limits can be higher if you support other family members or live in Alaska or Hawaii.

  • Yearly income up to $23,940 (individual) or $32,460 (married couple).
  • Resources up to $18,090 (individual) or $36,100 (couple), which includes an allowance for burial expenses.

What Extra Help pays

  • Your Part D premium, up to a benchmark amount (choose a benchmark plan and it's usually $0).
  • Your Part D deductible.
  • Copays of no more than $5.10 for generics and $12.65 for brand-name drugs in 2026 ($5.80 and $14.40 in 2027).
  • No Part D late enrollment penalty.

Automatic qualification

You get Extra Help automatically if you have full Medicaid, are in a Medicare Savings Program, or get Supplemental Security Income (SSI). You'll get a purple letter from Medicare confirming it.

How to apply

Apply online, by phone or at an office through Social Security. It's free, and applying for Extra Help can also start an application for a Medicare Savings Program in your state.

Common questions

  • Yes. Since 2025 you can switch once a month to a standalone Part D plan, in addition to the usual enrollment periods.

Sources

  1. Help with drug costs, Medicare.gov. Checked September 29, 2026.
  2. CY 2027 Rate Announcement, Centers for Medicare & Medicaid Services. Checked September 29, 2026.
  3. CY 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F) fact sheet, Centers for Medicare & Medicaid Services. Checked September 29, 2026.

General information about the federal Medicare program, not advice about your situation. Figures are for 2026 unless stated and change every year; last reviewed September 29, 2026. Quote My Policy is a private company. Not connected with or endorsed by the United States government or the federal Medicare program.

Currently we represent 41 organizations which offer 397 products in your area. You can always contact Medicare.gov or 1-800-MEDICARE for help with plan choices.