LIS (Low Income Subsidy)

A great place in the call to verify LIS is on the “Verify Coverage” plate.

Right-click and open this link in a new tab to open the step-by-step Marx guide.
Follow the instructions in the guide to determine:
- Customer’s name as it appears on their Medicare card
- Date of Birth
- Address
- Part A/B eff dates
- Current plan along with plan’s effective date
- LIS (Low Income Subsidy) level

With Extra Help/LIS as long as the plan covers the medications, they will be covered at the rate listed on the LIS Table or the rate charged by the plan, whichever is less.
Beneficiaries will pay the same amount under LIS for a 90 day supply as a 30 day supply.
Beneficiaries will not be responsible for the following costs:
- The coverage gap phase
- The Part D IRMMA
- The Part D late enrollment penalty

Plan	Medicare Code/Reason	Dialer Code/Reason	Uses

Plan	Medicare Code/Reason	Dialer Code/Reason	Uses
MAPD/PDP	MDE	MDE	May be used once per quarter (during the first 3 quarters of the year) if there are no recent changes to Medicaid or LIS level.
MAPD/PDP	MCD	MCD	Changes to Medicaid or LIS level this month, or in the past 2 months.