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Prospective & Enrolled Members: 800-405-9681 (TTY 711)

Provider Inquiries: 1-855-969-5907 (TTY 711)

When You Need Extra Help

Some people with limited resources and income also may be able to get “Extra Help” to pay for the costs of a Medicare prescription drug plan, including monthly premiums, annual deductibles and prescription co-payments.

You automatically qualify and do not need to apply for Extra Help if you have Medicare and meet one of the following conditions:

  • Have full Medicaid coverage
  • Have Supplemental Security Income (SSI) or
  • Participate in a state program that pays your Medicare premiums

If you have questions about “Extra Help,” call:

Home-aid looking over paper work with elderly man

If you believe that your cost-sharing amount for any prescriptions is incorrect, TIHP can help you:

  • Request help to obtain evidence of your proper copay level, or
  • If you already have the evidence, to provide this evidence to us.

As a Part D plan sponsor, CMS regulations require us to have a process to help you determine if you are eligible for the Low Income Subsidy (LIS) when some of your documentation is missing or there is a conflict between the CMS system and your actual status.

Before you enroll, TIHP will tell you what your plan premium will be with a low-income subsidy.

TIHP accepts the following forms of evidence to establish the subsidy status of a full benefit dual eligible individual:

  • Copy of valid State Medicaid card
  • Copy of valid document from State Medicaid confirming active status
  • Printed report from State Medicaid confirming active status
  • Screen print from State Medicaid confirming active status
  • Other material from State Medicaid confirming active status

These documents may be mailed to TIHP’s main office:

PO BOX 26289 Tampa, FL 33623

2023 Extra Help Premium Information

2023 Extra Help Table

2023 Extra Help Table (Spanish)

Page Last Updated: 8/2/2023

Texas Independence Health Plan is a HMO-SNP with a Medicare contract. Enrollment in Texas Independence Health Plan depends on contract renewal. H5015_TIHPWEB_2023