Did you recently receive a letter from the government telling you what level of extra help you qualify for? If you did, the letter told you that you qualified for Levels 1-4.
| Generic
Drug
Co-Pay | Brand
Drug
Co-Pay |
*LEVEL 1
You are single with monthly resources that are less than or equal to $675 ($8,100 annually);
or
You are married with monthly resources that are less than or equal to $1,076 ($12,910 annually).
| $2.50 | $6.30 |
LEVEL 2
Dual Medicare and Medicaid Recipient
| $1.10 | $3.30 |
LEVEL 3
Institutionalized Member with Medicaid
| $0.00 | $0.00 |
*LEVEL 4
You are single with monthly resources that are between $675 and $1,043 (between $8,100 and $12,510 annually);
or
You are married with monthly resources that are between $1,076 and $2,084 (between $12,910 and $25,010 annually).
| 15%
Coinsurance | 15%
Coinsurance |
|
|
| When the total expense between you and the company reaches $4,550 for Levels 1-3, the co-pay changes to $0.00 at that time. For Level 4, the co-pay is $2.50 for generic drugs and $6.30 for brand drugs.
*These resource limits do include $1,500 per person for burial purposes.
NOTE: 2009 resource levels are provided, but may vary in Alaska and Hawaii. Resources typically include savings and investments, but not your house, burial plot or personal possessions.
Click here to view the 2010 LIS Premium Summary Chart for those who receive Extra Help for your state.
(Please click on the link above. Once inside the document, scroll down to locate the premiums for your state.)
Click here to enroll now.
Click here to see what pharmacies you can use with WellCare.
Click here to see what prescription drugs are covered by WellCare.
