With 2024 Medicare plans, Extra Help will cover members during the coverage gap phase. Starting in 2025, Medicare will no longer have a coverage gap phase.
Extra Help to pay for drugs
Extra Help is there for members with lower income and resources. It helps pay for Medicare drug costs.
Read on to learn more about Extra Help, who may qualify and how to apply.
Need help with Part D prescription drug costs?
If you qualify for Extra Help,* you’ll get help to pay your Part D plan’s:
- Monthly Part D premium
- Yearly deductible
- Coinsurance
- Copayments
And it waives any Part D late enrollment penalty.
Is Extra Help for you?
First, you’ll need Medicare drug coverage (Part D). You may qualify for Extra Help with your plan if you have up to:
|
Income limit |
Resource limit |
||
|---|---|---|---|
|
Single |
$23,475 |
|
|
|
Married |
$31,725 |
$35,130 |
|
Income limit |
|
|---|---|
|
Single |
$23,475 |
|
Married |
$31,725 |
|
Resource limit |
||
|---|---|---|
|
Single |
|
|
|
Married |
$35,130 |
|
These amounts are for 2025. They may change in 2026. If your income and resources are a bit higher, you should still apply.
How much would you pay?
How much would you pay?
Use this tool to find out. In 2024, you can switch plans once a quarter before October 1 if you have Extra Help.
CHOOSE YOUR LOCATION AND PLAN TO SEE YOUR MONTHLY PLAN PREMIUM:
Ways to apply for Extra Help
Get help
Need help applying? Call BeneLynk at 1-888-715-0225 (TTY: 711), Monday to Friday, 9 AM to 6 PM ET. BeneLynk is an independent company.
Apply online
Call Social Security
Call Social Security at 1-800-772-1213 or TTY: 1-800-325-0778, Monday to Friday, 8 AM to 7 PM. You can talk to an agent or schedule a visit.
Want to learn more?
*For benefits of Extra Help
Questions? We’ve got answers
Member Services
Get help from Member Services. Find contact info for your plan and other resources.
Not yet a member?
Email us or call an Aetna representative at 1-855-335-1407 (TTY: 711), Monday to Friday, 8 AM to 8 PM.