Indications

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Indications

Beginning in 2025, updates have been made to Medicare Part D prescription drug plans. Here’s some information that may be helpful to know.

out-of-pocket

The maximum out-of-pocket amount you pay for covered Medicare Part D drugs is $2,000. This includes your yearly deductible. Once this amount is reached, patients will pay $0 for the rest of the year. The Medicare Part D coverage gap has been eliminated

out-of-pocket

The Medicare Prescription Payment Plan gives you the option to spread out your out-of-pocket costs throughout the year

out-of-pocket

Extra Help (also known as the Medicare Low-Income Subsidy) is a form of financial assistance available to some people with Medicare Part D drug coverage

What is the Medicare Prescription Payment Plan?

The Medicare Prescription Payment Plan enables patients to:

PAY OUT-OF-POCKET
COSTS* IN MONTHLY PAYMENTS

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OWE $0
AT THE PHARMACY

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*Out-of-pocket costs include the patient's deductible and any co-pay or co-insurance required for their prescription medications. Monthly insurance premiums do not count towards out-of-pocket costs.

Can anyone opt in to the Medicare Prescription Payment Plan?

Anyone with a Medicare Part D prescription drug plan or Medicare health plan with medication coverage is able to enroll and use this payment option for prescription medications. All plans offer this payment option, and participation is voluntary.

For more information and to learn how to sign up, view and download the Medicare Prescription Payment Plan Flashcard.

To learn more and enroll in the Medicare Prescription Payment Plan, contact your Medicare Part D insurance provider or visit the Medicare website.

What is the Medicare Extra Help program?

Extra Help, also known as Low-Income Subsidy (LIS) is a Medicare program that helps people with limited income and resources to pay Medicare Part D prescription drug plan coverage premiums, deductibles, coinsurance, and other costs. Some people are automatically enrolled in Extra Help, and others have to apply.

Do I qualify for Extra Help?

In most cases, to qualify for Extra Help, you must have income and resources below a certain limit. Resources include money in checking, savings, or retirement accounts; stocks; and bonds.

You may qualify for the Extra Help program if you:

  • Have limited annual income that is below 150% of the Federal Poverty Level (FPL)
  • Have limited total resources (assets)

Learn more about the Extra Help program and find out if you qualify.

To apply for Extra Help, click here or call the Social Security Administration at 1-800-772-1213.

ELIQUIS 360 Support is here to help those with an ELIQUIS prescription learn about potential ways to save on out-of-pocket costs. Learn more here or call 1-855-ELIQUIS (354-7847) Monday - Friday, 8 AM - 8PM (ET) or Saturday - Sunday, 9 AM - 6 PM (ET) to speak with a live specialist.