See If You May Qualify for Savings

Extra Help is Medicare’s Part D Low-Income Subsidy. It may lower or eliminate the drug-plan premium and deductible, cap many copays, and pause a Part D late-enrollment penalty while you have Extra Help. Social Security decides. This website cannot say that you qualify.

• 2026 income limit (individual): $23,940.00 a year ($1,995.00 a month)
• 2026 resource limit (individual): $18,090.00 (includes the usual burial set-aside on the Medicare.gov postcard)
• 2026 Extra Help copay maximums: up to $5.10 generic / $12.65 brand per covered 30-day fill, then often $0 after the yearly Part D out-of-pocket cap

Enter income and resources — or check Medi-Cal / MSP — to see this 2026 sketch. Leave a field blank to treat it as $0.

How to apply. Use SSA.gov/extrahelp, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778), or visit Medicare.gov/extrahelp. For QMB, SLMB, or QI (which often lead to Extra Help), use the Medicare Savings Programs screener.

Medicare Savings Programs are Medi-Cal programs that may pay your Part B premium — and, for QMB, certain Medicare deductibles and copays. This sketch uses California DHCS 2026 figures. The county decides. This website cannot say that you qualify.

• QMB — may pay Part A and Part B premiums, deductibles, and copays (limit $1,330.00 / $1,804.00 a month)
• SLMB — may pay the Part B premium (limit $1,596.00 / $2,165.00)
• QI — may pay the Part B premium; limited slots; generally not combined with full Medi-Cal (limit $1,796.00 / $2,436.00)

Enter income and resources to see which program this 2026 sketch is closest to. Leave a field blank to treat it as $0.

How to apply. Use BenefitsCal, your county social services office, or DHCS Medicare Savings Programs. In Los Angeles County, call Aging & Disabilities at 800-510-2020 or California HICAP at 1-800-434-0222 (TTY 711).

This sketch is for Californians who are 65 or older, or who meet Social Security’s disability rules — the usual path for people who already have Medicare. It is not MAGI Medi-Cal for adults under 65. The county decides. This website cannot say that you qualify.

• Aged & Disabled FPL (no share of cost): 138% FPL — $1,836.00 / $2,490.00 a month (April 2026 DHCS chart)
• Resource limit: $130,000.00 individual / $195,000.00 couple (reinstated January 1, 2026)
• Over the A&D FPL income limit, Medi-Cal with a share of cost may still be possible. This tool does not calculate a share-of-cost dollar amount.

Enter income and resources to see which 2026 path this sketch is closest to. Leave a field blank to treat it as $0.

How to apply. Use BenefitsCal or your county social services office. Read DHCS Medi-Cal. In Los Angeles County, call Aging & Disabilities at 800-510-2020 or California HICAP at 1-800-434-0222 (TTY 711). For Part B premium help only, use the Medicare Savings Programs screener.