Who Should Complete This Application For Extra Help With Medicare Prescription Drug Plan Costs?
- You should complete this application for extra help on the Internet if:
- You have Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance)
- You live in one of the 50 states or the District of Columbia
- Your combined savings, investments, and real estate (other than your home) are not worth more than $11,710, if you are single, or $23,410 if you are married and living with your spouse.
If you have more than those amounts, you may not qualify for the extra help. However, you can still enroll in an approved Medicare prescription drug plan for coverage.

