SSA helps claimants and beneficiaries decide whether or not to apply for Extra Help.
NOTE: In discussions with the public, be sure to refer to Part D as “Medicare Prescription
Drug Coverage” and refer to the subsidy as “Extra Help with prescription drug coverage.”
Public Law 110-275 , the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) expands
SSA’s responsibility to Extra Help (sometimes known as low-income subsidy (LIS)) eligibles.
Effective for Extra Help applications filed on or after January 1, 2010 and initial
determinations effective on or after January 1, 2010, SSA:
No longer counts in-kind support and maintenance (ISM) as income or the cash surrender
value (CSV) of life insurance policies as resources;
Provides an updated Extra Help application that initiates an application for the Medicare
Savings Programs (MSP), unless the beneficiary objects;
Provides general information on MSP; and
When requested, gives beneficiaries an MSP model application (available in English
and 10 other languages) or refers them to SSA.gov where they can obtain the application
online. States accept the applications from this site, even if they do not ordinarily
use this form.
The model application is available in English and 10 other languages and is accessible
in PDF format to the public online from the prescription help page at www.socialsecurity.gov/prescriptionhelp .
Applicants can scroll down on the right side, where the forms are located under “Additional
Resources,” and click on “Medicare Savings Programs Model Application for Premium Assistance ,” or applicants can scroll down the middle and click on “The Official Government
Site for People with Medicare.”
SSA employees can access the forms in multiple languages through the Public Affairs
Resource Center (PARC) by selecting “Publications and Periodicals” and clicking on
“Medicare Forms and Publications ”
NOTE: The MIPPA changes to ISM and CSV of life insurance are only for Extra Help. The
changes do not affect countable income or resources for any other program.