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Extra Help Paying for Prescriptions

Get help paying for your Medicare prescription drug costs 

The Medicare Extra Help program is for those with limited income and resources.  It helps pay for Medicare prescription drug costs. If you qualify for Extra Help, you’ll:

  • Get help paying your Medicare drug plan’s monthly premium, yearly deductible, coinsurance, and copayments
  • Have no coverage gap
  • Have no late enrollment penalty

For 2019

For 2019

Premium for Aetna Coventry members with Extra Help

Beginning January 1, 2019, those with Extra Help can switch plans once a quarter in the first nine months of the year.

You may qualify if you have up to $18,210 in yearly income ($24,690 for a married couple) and up to $14,100 in resources ($28,150 for a married couple). Note: Amounts are for 2018 and may change in 2019. If your income and resources are slightly higher, you should still apply.

Choose your location and plan to see your 2019 monthly plan premium:

You pay a lower plan premium if you qualify for Extra Help. The level of Extra Help you get determines your monthly plan premium. 

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For 2018

For 2018

Premium for Aetna Coventry members with Extra Help

You can switch plans at any time if you have Extra Help.

In 2018, you may qualify if you have up to $18,210 in yearly income ($24,690 for a married couple) and up to $14,100 in resources ($28,150 for a married couple).

Choose your location and plan to see your 2018 monthly plan premium:

You pay a lower plan premium if you qualify for Extra Help. The level of Extra Help you get determines your monthly plan premium. 

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How to apply for Extra Help 

Apply online

Or call Social Security at 1-800-772-1213 or TTY: 1-800-325-0778, Monday through Friday, 7 a.m. to 7 p.m.

Aetna Coventry members can receive help applying for government assistance programs. To get help with your application, call "My Advocate" at 1-866-856-7110 (TTY: 711). They’re available Monday through Friday, 9 a.m. to 6 p.m. ET. "My Advocate" is a service offered by an independent company.

Learn more about Extra Help 

Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.

Aetna Coventry Medicare’s pharmacy network offers limited lower cost, preferred pharmacies in: Rural Missouri, Urban Alabama, and Urban Tennessee. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use.

For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, members please call the number on your ID card, non-members please call 1-844-233-1938 (TTY: 711) or consult the online pharmacy directory at http://www.coventry-medicare.com/pharmacyhelp.

This information is not a complete description of benefits. Call 1-855-423-5971 (TTY: 711) for more information.

Members who get “Extra Help” are not required to fill prescriptions at preferred network pharmacies in order to get Low Income Subsidy (LIS) copays.  

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