Medicare/Medicaid Benefits – Extra Help Program Income and Asset Limits 2020

If you have Medicare only
Income limitAsset limitProgramCopayments
Below $1,615 ($2,175 for couples) per month in 20201 ∙ And your income and/or assets are above Full Extra Help limitsUp to $14,610 ($29,160 for couples) in 20202 ∙ And your income and/or assets are above Full Extra Help limitsPartial Extra Help Premium depends on your income $89 deductible or the plan’s standard deductible, whichever is cheaper15% coinsurance or the plan copay, whichever is less After $6,350 in out-of-pocket drug costs, you pay $3.60/generic and $8.95/brand-name or 5% of the drug cost, whichever is greater
Up to $1,456 ($1,960 for couples) per month in 2020*Up to $9,360 ($14,800 for couples) in 2020**Full Extra Help $0 premium and deductible***$3.60 generic copay $8.95 brand-name copay No copay after $6,350 in out-of-pocket drug costs
If you have Medicare and Medicaid and/or a Medicare Savings Program
Enrolled inIncome limitProgramCopayments
Medicaid and/or a Medicare Savings ProgramAbove $1,083 ($1,457 for couples) per month in 2020*Full Extra Help $0 premium and deductible**$3.60 generic copay $8.95 brand-name copay No copay after $6,350 in out-of-pocket drug costs
MedicaidUp to $1,083 ($1,457 for couples) per month in 2020*Full Extra Help $0 premium and deductible***$1.30 generic copay $3.90 brand-name copay No copay after $6,350 in out-of-pocket drug costs
Note: Income and asset limits on this chart are rounded to the nearest whole dollar. There’s also a $20 income disregard (factored into the income limits above) that the Social Security Administration automatically subtracts from your monthly unearned income. *Income limits are based on the Federal Poverty Level (FPL), which changes every year in February or March. Limits are higher for each additional relative living with you for whom you are responsible. **Asset limits include $1,500 per person for burial expenses. ***You pay no premium if you have Full Extra Help and a basic Part D drug plan with a premium at or below the Extra Help premium limit for your area.
© 2020 Medicare Rights Center              Helpline: 800-333-4114                www.medicareinteractive.org

©2020 Copyrite Walk & Associates LLC

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