Receiving Extra Help

The Centers for Medicare & Medicaid Services (CMS) requires health plans to provide the cost-sharing subsidy to eligible Part D individuals who are eligible for low income subsidy even if our system and the system at CMS do not yet reflect that eligibility. The Health Plan is required to provide you with the tools you need to submit a request to have our system updated to meet your low income subsidy level as awarded to you by the Social Security Administration (SSA). To obtain more information on how to have your subsidy level updated, please call Customer Service at 1.877.847.7907 (TTY users: 711), hours of Operation are October 1 through March 31: 8:00 a.m. to 8:00 p.m., seven days a week and April 1 through September 30: 8:00 a.m. to 8:00 p.m., Monday through Friday, or visit Centers for Medicare & Medicaid Services for more information.

For enrollees who receive extra help from Medicare to help them pay for their Part D prescription drug costs:

SecureCare (HMO) Low Income Subsidy Monthly Plan Premiums

• Ohio Plan
• Ohio/West Virginia Plan

SecureChoice (PPO) Low Income Subsidy Monthly Plan Premiums

• Ohio Plan
• Ohio/West Virginia Plan

Best Available Evidence Policy

Access this link to assist you in reconciling your CMS Low Income Subsidy (LIS) status.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call: 1.800.MEDICARE (1.800.633.4227). TTY users should call 1.877.486.2048, 24 hours a day/7 days a week; the Social Security office at 1.800.772.1213 between the hours of 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1.800.325.0778; or your state Medicaid office in Ohio at 1.800.324.8680 (TTY: 711) or in West Virginia at 1.800.624.8589 (TTY: 304.558.1675)