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Prospective Members, Enrolled Members and

Providers Inquiries: 800-405-9681 (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

2021 Extra Help Premium Information

2021 Extra Help Table

2021 Extra Help Table (Spanish)

 

To review the 2020 Extra Help Premium Information, click here.

Page Last Updated: 10/15/2020

Texas Independence Health Plan is a HMO-SNP with a Medicare contract. Enrollment in Texas Independence Health Plan depends on contract renewal. H5015_TIHPWEB_2021