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Medicare Assistance You can still sign up for a Medicare Prescription Drug plan and pay no penalty for 2006 if you qualify for extra help with Medicare prescription drug costs. Medicare beneficiaries eligible for the extra help have a special enrollment period that allows them to enroll in a plan between May 15 and December 31. Medicare beneficiaries are eligible for the extra help if they have limited income and resources. The extra help can increase your cost savings by paying for part of the monthly premiums, annual deductibles and prescription co-payments under the new prescription drug program. The extra help could be worth an average of $3,700 per year. The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (P.L. 108-173), enacted December 8, 2003, requires the Social Security Administration (SSA) to undertake a number of additional Medicare-related responsibilities. SSA and the Centers for Medicare & Medicaid Services (CMS) are working together to provide persons with limited income and resources extra help paying for their prescription drugs. Social Security's role in this partnership is to help the public understand how they may qualify and apply. Apply Online:
Whether you're filing on your own behalf or helping someone file the application, submit the Internet application to us right away to avoid delaying the extra help. Forms & Guides to Medicare Assitance Sample: Application for Help with Medicare Prescription Drug Plan Costs, SSA-1020. Instruction sheets are available in 15 different languages to help you understand the English application. The instructions are to be used as guides and cannot be used as applications. Arabic, Armenian, Chinese, Farsi, French, Greek, Haitian-Creole, Italian, Korean, Polish, Portuguese, Russian, Spanish, Tagalog, Vietnamese The actual applications are available only in English and Spanish. You must complete either an English or Spanish scannable paper application or you can apply online (English only).
Sample of the Medicare prescription drug assistance notice of review. Form to review your continuing eligibility for extra help with Medicare Prescription Drug plan costs. (English and Spanish PDF) Prescription Help Publications
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