To keep your Extra Help benefits from year to year, you must continue to meet the eligibility requirements. Depending on your state and how you initially qualified for Extra Help, this process may be automatic or require that you submit information to confirm your continued eligibility. If you qualified for
Options for those whose Extra Help application is denied, or whose benefit is less than expected
If the Social Security Administration (SSA) denies your Extra Help application and you disagree, you have two opportunities to request that your case be reexamined. 1. Before the final decision If your application is going to be denied, you will receive a Pre-Decisional Notice before being formally denied. The Pre-Decisional
How to apply for Extra Help
If you do not have Medicaid, Supplemental Security Income (SSI), or a Medicare Savings Program (MSP), you can apply for the Extra Help program through the Social Security Administration (SSA) using either the agency’s print or online application. (If you have Medicaid, SSI, or an MSP, you should be automatically
QMB improper billing
In Medicare, the term improper billing refers to a provider inappropriately billing a beneficiary for Medicare cost-sharing. Cost-sharing can include deductibles, coinsurance, and copayments. Federal law prohibits Medicare providers from billing people enrolled in the Qualified Medicare Beneficiary (QMB) program for any Medicare cost-sharing. This means that if you have
Medicare Savings Program budgeting
If your income seems above Medicare Savings Program (MSP) income and asset guidelines in your state, you should still apply. You may qualify for an MSP because certain income and assets may not be counted when determining your eligibility. Note: How your income and assets are counted to determine eligibility
Applying for a Medicare Savings Program
Below is a general guide to the Medicare Savings Program (MSP) application process. Before applying for an MSP, you should call your local Medicaid office for application steps, submission information (online, mail, appointment, or through community health centers and other organizations), and other state-specific guidelines. Call your State Health Insurance
Medicare Savings Program benefits
If you qualify for one of the three main Medicare Savings Programs (MSPs), your Medicare Part B monthly premium will no longer be deducted from your Social Security check. Additionally, you will automatically get Extra Help, the federal program that helps with Part D prescription drugs costs. Each MSP program
Medicare Savings Program income and asset limits
Each state has different eligibility requirements for the Medicare Savings Programs (MSPs). For instance, while all states require that applicants meet monthly income limits, those limits may vary from state to state. It is important to know that many states require you to apply for any money you might be
Medicare Savings Programs: QMB, SLMB, QI
Medicare Savings Programs: QMB, SLMB, QI Medicare Savings Program basics Medicare Savings Program income and asset limits Medicare Savings Program benefits Applying for a Medicare Savings Program Medicare Savings Program budgeting QMB improper billing
When to enroll in Part D
If you need to enroll in Medicare Part D for the first time, typically you will do so either during your Initial Enrollment Period (IEP), the Fall Open Enrollment Period, or if you qualify for a Special Enrollment Period (SEP). Additionally, you must: Have Part A and/or Part B And,