Prescription drugs: Getting financial help

Care from a doctor or hospital is just part of a person’s overall health expenses. For many of us, prescription drugs have a significant impact on our family budget. The extra support from Medicare can help.

Find out if you're eligible

If you have limited financial resources and income, you may be eligible for extra help from Medicare. There is a program that can help pay for costs related to a Medicare prescription drug plan, including monthly premiums, annual deductibles, and prescription copayments.

For 2016 you may qualify if your annual income is $17,820 or less ($24,030 for a married couple) and you have up to $13,640 in resources ($27,250 for a married couple).

Even if you don’t have complete documentation required for eligibility, you may qualify for extra help under Medicare's Best Available Evidence policy.

For more information, contact:

See if you qualify

A pharmacist provides a prescription.
Call Geisinger Gold at
800-482-8163 (TDD: 711).
  • 800-MEDICARE (800-633-4227), 24 hours a day, seven days a week. TTY users should call 877-486-2048.
  • Social Security (800-772-1213), 7 a.m. – 7 p.m., EST, Monday - Friday. TTY users should call 800-325-0778.
  • Your state’s Medicaid office

See what your monthly premium will be if you qualify for extra help. The premium covers both medical services and prescription drug coverage. These amounts don’t include any Medicare Part B premium you may have to pay.

You must continue to pay your Medicare Part B premium if it’s not paid for under Medicaid or by another third party. To see what your premium would be, first find your plan and then the county you live in.

You may also qualify for help through PACE or PACENET programs. Call 800-225-7223 to find out.


Y0032_16356_1 CMS Approved

Updated 2/1/2017

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