Medicare Extra Help |

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 California 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 HMO Members

Plan CMS# County Low Income Subsidy
Health Net
Gold Select (HMO)
H0562 - 101-001
  • Los Angeles & Orange
Health Net
Gold Select (HMO)
H0562 - 101-002
  • Riverside, San Bernardino 
Health Net
Healthy Heart (HMO)
H0562 - 068
  • Alameda & Stanislaus
Health Net
Healthy Heart (HMO)
H0562 - 090
  • Fresno
Health Net
Healthy Heart (HMO)
H0562 - 100-001
  • Los Angeles & Orange
Health Net
Healthy Heart (HMO)
H0562 - 100-002
  • Riverside & San Bernardino
Health Net
Healthy Heart (HMO)
H0562 - 012
  • San Diego
Health Net
Healthy Heart (HMO)
H0562 - 009
  • San Francisco
Health Net
Healthy Heart (HMO)
H0562 - 039
  • Yolo
Health Net
Healthy Heart (HMO)
H0562 - 084
  • Placer, Sacramento
Health Net
Seniority Plus Ruby (HMO)
H0562 - 079
  • Kern 
Health Net
Ruby Select (HMO)
H0562 - 097
  • San Francisco
Health Net
Ruby Select (HMO)
H0562 - 112
  • Fresno
Health Net
Ruby Select (HMO)
H0562 - 113
  • Alameda
Health Net
Ruby Select (HMO)
H0562 - 103
  • Yolo
Health Net
Healthy Heart (HMO)
H0562 - 119
  • Imperial
Health Net
Healthy Heart (HMO)
H0562 - 120
  • Santa Clara and Stanislaus
Health Net
Seniority Plus Sapphire (HMO)

H0562 - 122

 

  • Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, Santa Clara and Stanislaus
Health Net
Seniority Plus Sapphire Premier (HMO)

H3561 - 002

 

  • Alameda, Fresno, Kern, Los Angeles, Orange, San Diego,San Francisco & Tulare
Health Net
Seniority Plus Sapphire Premier (HMO)
H3561 - 004
  • Imperial, Riverside & San Bernardino
Health Net
Seniority Plus Sapphire Premier II (HMO)
H3561 - 005
  • Alameda, Fresno, Kern, Los Angeles, Orange, San Diego, San Francisco and Tulare
Health Net
Seniority Plus Sapphire Premier II (HMO)
H3561 - 006
  • Imperial, Riverside, and San Bernardino

 

For HMO SNP Members

Plans CMS#    County  Low Income Subsidy
Health Net
Seniority Plus Amber I (HMO D-SNP)
H0562 - 055
  • Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco & Tulare
Health Net
Jade (HMO C-SNP) 
H0562 - 117
  • San Francisco

 

Health Net
Jade (HMO C-SNP) 
H0562 - 118
  • Fresno
Health Net
Seniority Plus Amber II (HMO D-SNP) 
H0562 - 121
  • Fresno, Kern, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Francisco and Tulane
Health Net
Seniority Plus Amber II Premier (HMO D-SNP) 
H3561 - 001
  • Fresno
Health Net
Jade (HMO C-SNP)
H0562 - 092
  • Kern, Los Angeles & Orange
Health Net
Jade (HMO C-SNP)
H0562 - 114
  • San Diego

If you have questions please, contact Member Services.