Basic Considerations

Anyone may apply for the LIS. However, to be eligible to receive the LIS or Extra Help, an A/R must meet the following conditions:

Be eligible for or enrolled in Medicare Parts A and B AND

Be a recipient for full Medicaid benefits,

OR Q Track,

OR have limited income and resources (Refer to Appendix A1 for current limits.)

If the Medicare recipient is determined eligible for the LIS, s/he will not be reimbursed for any out of pocket Medicare Part D expenses incurred. Once that information is updated in Social Security’s and/or Centers for Medicaid and Medicare Services' system, then the premiums and deductibles should be covered.