Social Security and the Centers for Medicare & Medicaid Services are working together to get you Extra Help with your Medicare prescription drug plan costs. If you have limited resources and income, you may be able to get Extra Help with the costs—monthly premiums, annual deductibles, and prescription co-payments—related to a Medicare prescription drug plan. The Extra Help is estimated to be worth about $4,000 per year. To find out if you qualify, Social Security will need to know the value of your savings, investments, real estate (other than your home), and your income. If you are married and living with your spouse, we will need information about both of you.

By filing an Application for Extra Help with Medicare Prescription Drug Plan Costs (Form SSA-1020), Social Security will determine if you are eligible for the Extra Help. Most of the questions on the application are about resources and income. Social Security will not ask for proof to support the information you provide, but will match your information with data available from other government agencies.

What is the resource limit?

To qualify for Extra Help, your resources must be limited to $13,070 for an individual or $26,120 for a married couple living together. Resources include the value of the things you own. Some examples are:

  • Real estate (other than your primary residence);
  • Bank accounts, including checking, savings and certificates of deposit;
  • Stocks;
  • Bonds, including U.S. Savings Bonds;
  • Mutual funds;
  • Individual Retirement Accounts (IRAs); or
  • Cash at home or anywhere else.

What does not count as a resource?

Social Security will not count:

  • Your primary residence;
  • Your personal possessions;
  • Your vehicle(s);
  • Resources you could not easily convert to cash, such as jewelry or home furnishings;
  • Property you need for self-support, such as rental property or land you use to grow produce for home consumption;
  • Non-business property essential to your self-support;
  • Life insurance policies;
  • Burial expenses;
  • Interest earned on money you plan to use for burial expenses;
  • Certain distributions received by an Alaska Native from an Alaska Native Regional and Village Corporation;
  • Land held in trust by the United States for an individual Indian or Tribe;
  • Funds held in trust by the Secretary of the Interior for an Indian Tribe and distributed per capita to members of the Tribe;
  • Certain other money you are holding is not counted for nine months, such as:
    • Retroactive Social Security or Supplemental Security Income (SSI) payments;
    • Housing assistance;
    • Tax advances and refunds related to earned income tax credits and child tax credits;
    • Compensation you receive as a crime victim; and
    • Relocation assistance from a State or local government.

You should contact Social Security for other resource exclusions.

What is the income limit?

To qualify for Extra Help, your annual income must be limited to $16,755 for an individual or $22,695 for a married couple living together. Even if your annual income is higher, you still may be able to get some help. Some examples where your income may be higher include if you or your spouse:

  • Support other family members who live with you;
  • Have earnings from work; or
  • Live in Alaska or Hawaii.

What does not count as income?

Not all cash payments count as income. For example, Social Security will not count:

  • Food stamp assistance;
  • Housing assistance;
  • Home energy assistance;
  • Medical treatment and drugs;
  • Disaster assistance;
  • Earned income tax credit payments;
  • Assistance from others to pay your household expenses;
  • Victim's compensation payments;
  • Scholarships and education grants;
  • Funds held in trust by the Secretary of the Interior for an Indian Tribe and distributed per capita to members of the Tribe;
  • Certain distributions received by an Alaska Native from an Alaska Native Regional and Village Corporation;
  • Up to $2,000 per year received by an Indian that is derived from individual interests in trusts or restricted lands; and
  • Payments to members of specific Indian Tribes as provided by Federal legislation.

You should contact Social Security for other income exclusions.

What if I do not have all of the information?

Even if you do not have all of your information or cannot find the documents, you should file for Extra Help if you think you will be eligible. We will work with you to explain the information we need.

How do I apply?

It is easy to apply for Extra Help. Just complete Social Security’s Application for Extra Help with Medicare Prescription Drug Plan Costs (Form SSA-1020). Here’s how:

Can State agencies help with my Medicare costs?

When you file your application for Extra Help, you also can start your application process for the Medicare Savings Programs— State programs that provide help with other Medicare costs. Social Security will send information to your State unless you tell us not to on the Extra Help application. Your State will contact you to help you apply for a Medicare Savings Program.

How can I get more information?

For more information about getting Extra Help with your Medicare prescription drug plan costs, visit www.socialsecurity.gov or call Social Security at 800-772-1213 (TTY 1-800-325-0778). Social Security representatives are available to help you complete your application. The sooner you apply the sooner you will begin receiving benefits.

If you need information about Medicare Savings Programs, Medicare prescription drug plans, how to enroll in a plan, or to request a copy of the Medicare & You handbook, please visit www.medicare.gov or call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048). Your State Health Insurance Counseling and Assistance Program (SHIP) also can help answer Medicare questions. You can find your local SHIP contact information in the back of your Medicare handbook, online at www.medicare.gov under “Help & Support,” or you can request it when you call.

Contacting Social Security

Our website is a valuable resource for information about all of Social Security’s programs. There are a number of things you can do online.

In addition to using our website, you can call us toll-free at 1-800-772-1213. We treat all calls confidentially. We can answer specific questions from 7 a.m. to 7 p.m., Monday through Friday. Generally, you’ll have a shorter wait time if you call during the week after Tuesday. We can provide information by automated phone service 24 hours a day. (You can use our automated response system to tell us a new address or request a replacement Medicare card.) If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778.

We also want to make sure you receive accurate and courteous service. That is why we have a second Social Security representative monitor some telephone calls.