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Reviewed for accuracy by Lauri Middleton, RN, MSN, licensed Medicare agentReviewed for clarity by Karen OrillaMeet our reviewers →

Decision 5 of 5

Help with costs

Is there a public program that could lower what I pay?

What this is

Two programs exist for people with limited income and resources. Extra Help lowers Part D premiums, deductibles and copays and is applied for through Social Security. Medicare Savings Programs pay the Part B premium, and sometimes more, and are applied for through the state Medicaid office.

The agency decides who is accepted. What this site can do is help you prepare: what to gather, who to call, and what to ask.

Extra HelpA Social Security program that lowers Part D premiums, deductibles and copays for people with limited income and resources. Glossary →
Medicare Savings ProgramsState-run programs that pay the Part B premium, and sometimes deductibles and copays, for people with limited income. Applied for through the state Medicaid office. Glossary →
Income-related adjustment (IRMAA)Higher Part B and Part D premiums for people whose income two years ago was above a threshold. Social Security decides it and there is an appeal for a drop in income. Glossary →
SHIP counselorState Health Insurance Assistance Programs give free, confidential Medicare counseling in every state. Find yours at shiphelp.org. Glossary →
Applied to your calendar

Draw a calendar first and this section will use the actual dates.

Start my calendar

What changes if you wait
  • You can ask about cost help without deciding for yourself whether you meet the requirements. The responsible agency makes that decision using your application.
  • If income was higher two years ago than it is now — retirement, for example — Social Security has a form to have the income-related premium adjustment reconsidered.
Ask a real person
Ask Social Security:
Ask the state Medicaid office or a SHIP counselor:
Where things stand

The rules we use

Help with costs exists; an agency decides who gets it

Extra Help lowers Part D costs and is applied for through Social Security. Medicare Savings Programs help with Part B premiums and sometimes more, and are applied for through the state Medicaid office (Medi-Cal in California). Both look at income and resources; this site does not screen for them.

Source: SSA — Extra Help · Medicare.gov — Medicare Savings Programs · In effect since 2006-01-01 · Last checked 2026-09-06