In times like these, every dollar counts. Help dad save an average of $3,900. Apply now for Extra Help
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In times like these, every dollar counts. Help dad save an average of $3,900. Apply now for Extra Help

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8 pages
English
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Social Security AdministrationIn times like these, every dollar countsHelp dad save an average of $3,900.Apply now for Extra Help with Medicare prescription drug plan costs.www.socialsecurity.govIn times like these, every dollar countsDo you know someone who needs help with prescription costs?Now, you can help someone you care about apply for Extra Help with their Medicare prescription drug plan costs. Anyone who has Medicare can get Medicare prescription drug coverage. Some people with limited income and resources also are eligible for Extra Help to pay for the costs—monthly premiums, annual deductibles, and prescription co-payments—related to a Medicare prescription drug plan. The Extra Help is estimated to be worth an average of $3,900 per year. Many people qualify for these big savings and don’t even know it. To find out if someone is eligible, Social Security will need to know their income and the value of their savings, investments, and real estate (other than their home). If they are married and living with their spouse, we will need this information for both of them.To qualify for Extra Help: • Their annual income must be limited to $16,245 for an individual or $21,855 for a married couple living together. www.socialsecurity.gov2In times like these, every dollar countsEven if their annual income is higher, the ones you care about still may be able to get some help. Some examples where their income may be higher ...

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Social Security Administration
In times like these,every dollar counts
Help dad save an average of $3,900. Apply now for Extra Help with Medicare prescription drug plan costs.
www.socialsecurity.gov
In times like these, every dollar counts
Do you know someone who needs help with prescription costs? Now, you can help someone you care about apply for Extra Help with their Medicare prescription drug plan costs. Anyone who has Medicare can get Medicare prescription drug coverage. Some people with limited income and resources also are eligible for Extra Help to pay for the costs—monthly premiums, annual deductibles, and prescription co-payments—related to a Medicare prescription drug plan. The Extra Help is estimated to be worth an average of $3,900 per year. Many people qualify for these big savings and don’t even know it. To find out if someone is eligible, Social Security will need to know their income and the value of their savings, investments, and real estate (other than their home). If they are married and living with their spouse, we will need this information for both of them. To qualify for Extra Help: Their annual income must be limited to $16,245 for an individual or $21,855 for a married couple living together.
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Even if their annual income is higher, the ones you care about still may be able to get some help. Some examples where their income may be higher are if they or their spouse: — Support other family members who live with them; — Have earnings from work; or — Live in Alaska or Hawaii; and Their resources must be limited to $12,510 for an individual or $25,010 for a married couple living together. Resources include such things as bank accounts, stocks, and bonds. Wedo notcount their house and car as resources. How can you help someone apply? It is easy to help someone apply for Extra Help. Just help them complete Social Security’sApplication for Help with Medicare Prescription Drug Plan Costs(SSA-1020). Here’s how: You can help them apply online at www.socialsecurity.gov; Call Social Security at 1-800-772-1213(TTY1-800-325-0778) to help them apply over the phone or to request an application; or Help them apply at their local Social Security office.
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The worksheet on the opposite page can help you decide if they are eligible and can assist you in helping them complete the actual application for Extra Help. The worksheet isnotan application. Ask whoever you are helping to: Identify the things they own alone, with their spouse, or with someone else. Theyshould notinclude their home, vehicles, burial plots, or personal possessions. Review all their income. Gather their records in advance to save time.
What documents can help them prepare in advance? Statements that show their account balances at banks, credit unions, or other financial institutions; Investment statements; Life insurance policy statements; Stock certificates; Tax returns; Pension award letters; and Payroll slips.
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www.socialsecurity.gov
Can state agencies help with Medicare costs? State medical assistance (Medicaid) offices offer Medicare Savings Programs. These Medicare Savings Programs also help people with limited income and resources pay for their Medicare expenses. If whoever you are helping pays a premium for Medicare Part A, the Medicare Savings Programs may pay it for them. The help they get from the Medicare Savings Programs can save them more than $1,100 a year. If you think they might be able to get help from their state with Medicare costs, or if you are not sure, call their state medical assistance (Medicaid) office or call1-800-MEDICARE(1-800-633-4227; TTY1-877-486-2048).
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Resources
Bank accounts, including checking, savings, and certificates of deposit
Stocks, bonds, savings bonds, mutual funds, individual retirement accounts (IRAs), or other investments
Value
$
$
Cash at home or anywhere else $ Life insurance policies for applicant (and spouse, if married and living together) $ NOTE:Social Security needs to know how much money the applicant or spouse would getif they cashed in their life insurance policies today. Ask them to check with their insurance company or agent to get the exact cash value. This probably will be less than the amount they are insured for.
Any real estate other than your home
$
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Income
Social Security benefits
Railroad Retirement benefits
Veterans benefits
Other pensions or annuities
Alimony
Net rental income
Worker’s compensation
Other income (private or state disability payments)
Monthly Amount
$
$
$
$
$
$
$
$
Help from other people to pay for household expenses, such as food, mortgage or rent, heating fuel or gas, electricity, water, and property taxes $ Annual Income Amount
Wages
Net earnings from self-employment
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$
$
How can you get more information? For more information about Extra Help with Medicare prescription drug plan costs, visitwww.socialsecurity.govor call Social Security at1-800-772-1213(TTY1-800-325-0778). Social Security representatives are available to help complete the application. To learn more about the Medicare prescription drug plans and special enrollment periods, visitwww.medicare.govor call 1-800-MEDICARE(1-800-633-4227;TTY1-877-486-2048). Medicare also can tell you about agencies in your area that can help you with Medicare prescription drug plans.
Social Security Administration SSA Publication No. 05-10164 ICN 468807 Unit of Issue - HD (one hundred) May 2009 (Destroy prior editions)
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