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IMPORTANT: Medicare Beneficiaries can have LIS without Medicaid. They can have Medicaid without LIS. They are totally separate programs. Medicaid is state subsidyprogram. LIS is Federal subsidyprogram.

Level

  • There are four levels of Low Income Subsidy.

  • The “Level” indicates the beneficiary’s Out of Pocket responsibilities for covered prescriptions.

    • IMPORTANT NOTE: LIS does not pay the full cost of the drug. Beneficiaries MUST have creditable prescription drug coverage that covers their medicines (PDP/MAPD) and then LIS helps pay the co-pays for the beneficiary. If their drugs are not covered by a PDP/MAPD plan then Extra Help does not help with those drugs.

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