Low-income subsidy premium summary table


This table shows you what your monthly plan premium will be if you get Medicare's Extra Help to help pay for your Medicare prescription drug plan costs.

View a PDF version of these charts (pdf)

Your level of Extra Help     What you'll pay for a monthly premium
100% $0
75% $0
50% $0
25% $0

To check your Extra Help status or level or to see if you qualify for Extra Help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users call 1-877-486-2048 (24 hours a day/seven days a week)
  • Massachusetts MassHealth office: 1-800-841-2900 (TTY: 1-800-497-4648)
  • Social Security Administration: 1-800-772-1213 between 8 a.m. and 5:30 p.m., Monday through Friday. TTY users call 1-800-325-0778.
  • Prescription Advantage: 1-800-AGE-INFO (1-800-243-4636), TTY: 1-877-610-0241

Note: All NaviCare members qualify for Extra Help since you must qualify for MassHealth Standard to enroll in NaviCare.

For information about the Centers for Medicare & Medicaid Services (CMS) Best Available Evidence (BAE) policy, visit the CMS website. (This link takes you away from the NaviCare website.)

 

NaviCare is a voluntary program in association with MassHealth/EOHHS and CMS.

 

H8928_220179_C
The information on this page was last updated on 10/1/2021.