Paying for your Part D prescription drug costs

People with limited incomes may qualify for extra help to pay for their prescription drug costs. If eligible, Medicare could pay up to 100% of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late- enrollment penalty. Many people are eligible for these savings and don’t even know it.

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, the amount of extra help you get will determine your total monthly plan premium as a member of our plan.

This table shows you what your monthly plan premium will be if you get Extra Help. 

To download this chart, click here. 

MAPD LIS Premium summary chart: English / Spanish (PDF, 55.7KB)

PDP LIS Premium summary chart: English / Spanish (PDF, 54.9KB)

 

 

Monthly premium for

Your level of extra help

Blue Shield 65 Plus, Blue Shield 65 Plus Choice Plan, Blue Shield Inspire, or Blue Shield Vital1*

Blue Shield Medicare PPO (Alameda County)*

Blue Shield Inspire (Alameda County)*

Blue Shield 65 Plus (Fresno County)* Blue Shield Inspire (San Mateo County)*

Blue Shield Trio Medicare*2
(Sacramento County)

Blue Shield Rx Plus

Blue Shield Rx Enhanced Plan

100%

$0

$126.00

$65.00


$20.00

$55.00

$39.00

$8.70

$86.40

75%

$0

$126.00

$65.00


$20.00

$55.00

$39.00

$16.70

$94.40

50%

$0

$126.00

$65.00


$20.00

$55.00

$39.00

$24.70

$102.40

25%

<$0>

$126.00

$65.00


$20.00

$55.00

$39.00

$32.70

$110.40

1 Los Angeles, Orange, San Diego, Kern, Riverside, San Bernardino, Ventura, San Luis Obispo, and Santa Barbara counties

2 Blue Shield Trio Medicare - Sacramento County 

*This does not include any Medicare Part B premium you may have to pay.

 

How do I know if I qualify for extra help?

If you believe you qualify for LIS (Low Income Subsidy) and are paying 100% of your premium, you can call:

For more information about our extra help, you may call Medicare Member Services at (800) 776-4466 [TTY 711], 8 a.m. to 8 p.m. seven days a week, from October 1 through March 31, and 8 a.m. to 8 p.m., weekdays, (8 a.m. to 5 p.m., Saturday and Sunday), April 1 through September 30.