Having issues paying for Prescriptions?

If you meet certain income and resource limits, you may qualify for Extra Help from Medicare to pay the costs of Medicare prescription drug coverage. In 2017, costs are no more than $3.30 for each generic/$8.25 for each brand-name covered drug. Other people pay only a portion of their Medicare drug plan premiums and deductibles based on their income level.

In 2017, you may qualify if you have up to $18,090 in yearly income ($24,360 for a married couple) and up to $13,820 in resources ($27,600 for a married couple).

If you don’t qualify for Extra Help, your state may have programs that can help pay your prescription drug costs. Contact your Medicaid office or your State Health Insurance Assistance Program (SHIP) for more information. Remember, you can reapply for Extra Help at any time if your income and resources change.

Countable resources include:

  • Money in a checking or savings account
  • Stocks
  • Bonds

Countable resources don’t include:

  • Your home
  • One car
  • Burial plot
  • Up to $1,500 for burial expenses if you have put that money aside
  • Furniture
  • Other household and personal items

Do You Think you Qualify

We would be more than happy to connect you to a Local licensed Agent to help you apply and go over all your options to help lower your Medical and Prescription costs. Call (503) 482-7600 for more information.

Some people automatically qualify for Extra Help

You automatically qualify for Extra Help if you have Medicare and meet any of these conditions:

Even if you automatically qualify this year, you may not qualify for Extra Help next year. Changes in your income or resources may cause you no longer to qualify for one of the programs listed above. You’ll get a notice (on grey paper) by the end of September if you no longer automatically qualify. Even if you get this notice, you may still qualify, but you need to apply to find out.

  • If your copayment amounts change for 2018, you’ll get a notice (on orange paper) in the mail in early October with the new amounts.
  • If you don’t get a notice from Medicare, you’ll get the same level of Extra Help that you got for last year.

Paying the right amount

If you’re not sure if you’re paying the right amount, call your drug plan. Your plan may ask you to give information to help them check the level of Extra Help you should get. Get your plan’s contact information from a Personalized Search (under General Search), or search by plan name.

Can I get money back if I’ve been paying too much?

If you paid for prescriptions since you qualified for Extra Help and you aren’t enrolled in a Medicare drug plan, you may be able to get some money back. Keep your receipts, and call your plan. Or, you can contact

Medicare’s Limited Income Newly Eligible Transition (NET) Program at 1-800-783-1307 for more information (TTY: 711).

Other ways to lower your prescription drug costs

If you Live in Oregon or Washington we would be available for assistance to go over all your options, You must have Medicare Part A and B or qualifying for Medicare Benefits in the near future. If you do not currently have an Medicare Advantage plan or a Prescription Drug plan also known as Part D you may be able to add more benefits if you qualify for extra help. You DO NOT have to wait of Open Enrollment to see if you qualify.

Our Service Area
Oregon : Hillsboro, Beaverton, Aloha, Forest Grove, Portland, Cornelius, Lake Oswego, Salem ,Vernonia, Tualatin, Wilsonville, Milwaukie, Oregon City, Clackamas, Woodburn, Newberg and all the cities in between.
Washington: Vancouver, Camas, Ridgefield, Longview, Orchards, Battle Ground, La Center, Kelso, Woodland, Castle Rock and all the cities in between.