Indiana’s Money Saving Programs for People with Medicare. Medicare Savings Programs, Extra Help for Part D, and Hoosier Rx (2008). What We Will Cover Today?. Programs that help pay your Medicare out-of pocket costs: Medicare Savings Program (MSP)
Medicare Savings Programs,
Extra Help for Part D,
and Hoosier Rx
Programs that help pay your Medicare
out-of pocket costs:
Who is eligible for these programs?
How do you apply for these programs?
How do they work with other programs?
What is the
Medicare Savings Program?
Medicare Savings Programs (MSPs) help people who have low incomes pay for the out-of-pocket costs of Medicare.
MSPs are joint federal/state programs.
You apply through your local Medicaid office called the Office of Family Resources.
The three different MSPs are:
Each program helps with different costs.
Each program has different income limits
Depending on program, MSP could help you pay
some of the following costs:
10 years and you must pay a Part A premium)
skilled nursing facility, home health, hospice)
pay for most of the costs of the Medicare
drug benefit (Part D) including the gap in coverage.
every year (with Federal Poverty Limit).
March of 2008.
QMB has lowest income limits:
QMB offers the most help:
Pays the Medicare monthly Part B premium
QI has the highest income limits:
Pays the monthly Part B premium.
Must not be eligible for Medicaid benefits.
income called Buy-in.
whether or not you are working and/or
receiving Social Security benefits.
expenses from your income.
or in person.
proof of income;
proof of assets; and
a copy of your Medicare card.
records before submitting.
status within 45 days of applying for an
MSP (Notice of Action).
approved, then you will be reimbursed.
of the month in which you apply.
three months before you applied for SLMB and QI.
You have the right to appeal:
If you win your appeal:
the amount of the Part B premium ($96.40 in 2008).
What is Extra Help?
Extra Help is a federal program through the Social Security
Administration that helps you pay for some or most of the
costs of Medicare Part D drug coverage.
You are eligible if income is below $1,711* a month ($1,276* for
couples) and have assets below $11,990 ($23,970 for couples).
*Based on Federal Poverty Level
Five (5%) percent of the cost of each drug, or $2.25/generic and $5.60/brand-name drug co-payment (whichever is greater)
If you get Extra Help:
If you are enrolled in
You do not have to apply for Extra Help—you get it
You have to fill out an LIS application. You and your spouse
can apply with the same application.
You can apply through:
You can declare your income and assets (do not need to
provide proof). If you are denied, you can appeal
Certain income and assets will not be counted, so apply even if it looks
like you are over the limits. You must also include income and assets
of spouse unless legally separated.
If Medicare pays for your prescription drugs, your income will be higher. Your change in income may affect:
If you are in several of these programs, call your local Case
Worker for help. What you save in prescription drug costs
may offset what help you receive from these programs.
What is Hoosier Rx?
Indiana’s State Pharmaceutical Assistance Program, HoosierRx, can help pay the monthly Part D premium, up to $70 per month, for members enrolled in a Medicare Part D Plan working with HoosierRx.