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Low Income Subsidy
(Extra Help) Summary

Monthly plan premiums, deductibles, and copayments for people who get Extra Help from Medicare for prescription drug cost assistance

If you get Extra Help from Medicare, also known as the Low-Income Subsidy, to help pay for your Medicare prescription drug plan costs, your monthly plan premium, annual deductible, and copayments for prescription drugs will be lower than if you did not get Extra Help from Medicare.

2024
Most people who qualify for Extra Help will pay:
 
  • Drug plan premium: $0*
  • Plan deductible: $0
  • Generic prescription drug: up to $4.50 each
  • Brand-name prescription drug: up to $11.20 each
2025
Most people who qualify for Extra Help will pay:
 
  • Drug plan premium: $0*
  • Plan deductible: $0
  • Generic prescription drug: up to $4.50 each
  • Brand-name prescription drug: up to $11.20 each
Gold Kidney is committed to assisting our members who need financial assistance by helping them become enrolled in government programs that can save them money. We are supported in these efforts by our partner, BeneLynk. 
 
At no cost to you, BeneLynk’s experts will assist you with completing and submitting an application for enrollment and annual renewals in the following programs:
 

Medicare Savings Program (MSP)

For those who are eligible, this program will cover your Part B Premium of $174.70 in 2024 and $185.00 in 2025. Depending on which program you might qualify for, it could also cover the costs of copays or deductibles, or in some states provide additional benefits.

Low-Income Subsidy (LIS / Extra Help)

LIS helps members by providing “extra help” to cover the cost of prescription drugs. Our advocates will screen members to identify those who qualify for LIS through the Social Security Administration and with the member’s authorization, submit the application on the member’s behalf.

More information can be found about the Extra Help program, including what counts toward the income and resource limit, a list of exclusions that may apply, and steps for applying, in the Social Security Administration’s Extra Help resource here.

If you have not received Extra Help automatically, you can see if you qualify by calling: 

  • 1-800-MEDICARE (1-800-633-4227) or TTY users call (877) 486-2048 (24 hours a day, 7 days a week),
  • Your State Health Insurance Assistance Program,
  • Your State Medicaid Office, or
  • The Social Security Administration at (800) 772-1213, TTY users should call (800) 325-0778 between 8 a.m. and 7 p.m., Monday through Friday.

If you have any questions, please call Gold Kidney Member Services at (844) 294-6535 (TTY 711). We are available October 1 through March 31 from 8:00 a.m. to 8:00 p.m. local time, 7 days a week (except holidays), and April 1 through September 30 from 8:00 a.m. to 8:00 p.m. local time, Monday through Friday (except holidays).

*Gold Kidney Health Plan’s premium includes coverage for both medical services and prescription drug coverage.

Contact Us

HQ Location
4600 E Washington St, #300
Phoenix, AZ 85034

Mailing Address
P.O. Box 285
Portsmouth, NH 03802

(844) 294-6535 (TTY 711)
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Gold Kidney Health Plan, Inc., is an HMO-POS and HMO-POS C-SNP with a Medicare contract.
Enrollment in Gold Kidney Health Plan depends on contract renewal.
Last Updated: April 17, 2025 | Y0171_GKHPWebsite_M | Copyright © 2025 Gold Kidney Health Plan
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