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For Members

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    Low income and/or limited assets

    If you have low income and/or limited assets, you may qualify for help from a variety of programs.

    Pennsylvania’s prescription assistance programs may be able to help you with premiums for prescription drug plans or out-of-pocket expenses. The federal government provides a Medicare Part D Extra Help program (also known as the Low-Income Subsidy) that helps with some or all prescription drug coverage costs, including monthly premiums, deductibles, copays and coinsurance. An estimated one out of three Medicare beneficiaries qualifies for some level of Extra Help.

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    If you get Extra Help

    If you get Extra Help to help pay for your Medicare prescription drug plan costs, your monthly plan premium may be lower than what it would be without Extra Help (depending on your plan choice). The amount of Extra Help you get will determine your total monthly plan premium as a member of our plan.

For Members

Have Questions?

We are here to help answer your questions about Extra Help. Please reach out to our Member Relations team at 1-866-901-8000 (TTY 1-877-454-8477).

From October 1 to March 31, we're available 8 a.m. to 8 p.m., 7 days a week (closed on Thanksgiving and Christmas). And from April 1 to September 30, we're available 8 a.m. to 8 p.m., Monday to Friday.

You can also call Medicare or Social Security at the numbers below, or visit the Social Security website for more information.

Contact Social Security

Visit the Social Security website to learn more and apply online.

Call Social Security at 1-800-772-1213 (7 a.m. – 7 p.m., Monday through Friday) with questions or to apply by phone or get a paper application. TTY users please call 1-800-325-0778.

Visit your local County Assistance Office. Visit or call 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048) to find your local office.

Contact Jefferson Health Plans

Our friendly, licensed benefit advisors are here to answer your questions about Medicare and Extra Help. Call us now at 1-833-477-4773 (TTY 1-877-454-8477).