Medicare Extra Help | Health Net Medicare Advantage for Oregon and Washington

Medicare's "Extra Help" Program

 

Medicare provides "Extra Help" to pay prescription drug costs for people who have limited income and resources. Resources include your savings and stocks, but not your home or car. If you qualify, you will get help paying for your Medicare prescription drug plan's monthly premium, yearly deductible, prescription co-payments and coinsurance. This Extra Help also counts toward your out-of-pocket costs.

Some people automatically qualify for Extra Help and don't need to apply. Medicare mails a letter to people who automatically qualify for Extra Help.

To see if you qualify for getting Extra Help call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users call 1-877-486-2048.  Get information 24 hours a day, 7 days a week. You can also visit www.medicare.gov (By clicking on this link you will be leaving the Health Net Medicare Advantage for Oregon and Washington website.) to view a copy of the 'Medicare and You' handbook- see section 'Programs for People with Limited Income and Resources'; or
  • The Social Security Administration at 1-800-772-1213 between 7:00 a.m. and 7:00 p.m., Monday through Friday. TTY users call 1-800-325-0778; or
  • Your State Medicaid Office

After you apply, you will get a letter letting you know if you qualify for Extra Help and what you need to do next.

Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

For PPO Members

Plans CMS# County  Low Income Subsidy
Violet 1 (PPO) H5439 - 011
  • Benton, Clackamas, Lane, Linn,
    Marion, Multnomah, Polk, Washington and Yamhill, OR; Clark, WA
Violet 1 (PPO)

H5439 - 013

  • Douglas, Jackson, Josephine
Violet 2 (PPO) H5439 - 014-001
  • OR: Clackamas, Lane, Multnomah, Washington
Violet 2 (PPO) H5439 - 014-002
  • Benton, Linn, Yamhill
Violet 2 (PPO) H5439 - 014-003
  • Marion, Polk
Violet 2 (PPO) H5439 - 014-004
  • WA: Clark
Violet 2 (PPO) H5439 - 016-001
  • Jackson
Violet 2 (PPO) H5439 - 016-002
  • Douglas and Josephine
Violet 3 (PPO) H5439 - 015
  • Douglas and Josephine
Violet 4 (PPO) H5439 - 017
  • Lane

 

For HMO Members

Plans  CMS#  County  Low Income Subsidy
Ruby (HMO) H6815 - 003-001
  • Clackamas,
    Multnomah & Washington
Ruby (HMO) H6815 - 003-002
  • Benton, Linn, Marion,
    Polk & Yamhill
Ruby (HMO) H6815 - 003-003
  • Lane
Ruby (HMO) H6815 - 005
  • Douglas, Jackson, Josephine
Ruby (HMO) H6815 - 006
  • Coos, Crook, Deschutes, Jefferson

 

If you have questions please, contact Member Services.