Complete Guide to Health Care Cost Assistance

State and National Financial Help 2019-2020

As the cost of health care continues to rise, more and more Americans are feeling the pinch.

According to a 2017 report published by the Kaiser Family Foundation:1

  • 43% of adults with health insurance have difficulty affording their health insurance plan deductible.

  • One out of three Americans have trouble paying their insurance plan premium or other cost-sharing measures, such as copays or coinsurance.

  • 29% of adults have problems paying their medical bills. 73% of those people have cut back on spending money for food and other basic items as a result.

  • 27% of Americans have delayed getting health care, 23% have skipped seeking care altogether and 21% have skipped filling a prescription because of the cost.

Fortunately, there are a number of resources available to people who might have difficulties affording health care.

Here is more information on some of the national resources that can help with health insurance and health care costs. We’ve also included a state-by-state guide of more localized resources in your community.

Quick links:

Woman on her phone while at the computer

Medicaid

Medicaid is a program that is jointly funded by individual states and the federal government. Medicaid provides health insurance coverage for people who have lower incomes.

As of February 2019, more than 65 million Americans had Medicaid, making it the single largest health insurance program in the U.S.2

Each state has its own rules regarding Medicaid eligibility and coverage.

Find your state’s Medicaid website by selecting your state from the map above.

Medicare Dual Eligibility

“Dual eligibility” means being qualified for both Medicare and Medicaid.

If you are Medicare dual eligible, you may qualify for a Dual Eligible Special Needs Plan (D-SNP).

Dual Eligible Specials Needs Plans are a type of Medicare Advantage plan that pay for part or all of your Medicare deductibles, copayments and coinsurance. These plans can also provide benefits for things not covered by Medicare, such as routine dental, vision and hearing care.

Medicare Savings Programs

A Dual Special Needs Plan is not the only way to receive assistance with Medicare costs.

A Medicare Savings Program (MSP) is a federally funded health insurance program that is administered by the state where you live.

A Medicare Savings Program can help pay for Medicare premiums, deductibles, copayments and coinsurance.

There are four types of Medicare Savings Programs:

  • Qualified Beneficiary Medicare (QMB) Program
    This program helps pay for the Medicare Part A and Part B premium along with deductibles, copayments and coinsurance.

    If you get QMB benefits, health care providers aren’t allowed to charge you for any services or items that Medicare covers. Pharmacists can only charge you a small amount (no more than $3.80 in 2019) for prescription drugs that are covered by Medicare Part D.

    Individuals can qualify for a QMB with a monthly income of less than $1,061 in 2019, and married couples may qualify with a combined income of less than $1,430 per month in 2019.

  • Specified Low Income Medicare Beneficiary (SLMB) Program
    The SLMB program helps pay for the Part B premium and is available to individuals who have an income of less than $1,269 per month in 2019, or couples with an income of less than $1,711 per month in 2019.

  • Qualified Individual (QI) Program
    The QI program helps pay for the Part B premium. You can’t get QI benefits if you also qualify for Medicaid.

    The 2019 qualifying income limits are $1,426 per month for an individual and $1,923 per month for a married couple.

  • Qualifying Disabled and Working Individuals (QDWI)
    The QDWI helps pay for Medicare Part A premiums.

    QDWI benefits are available to working disabled persons under the age of 65 with a monthly income of no more than $4,249 in 2019 or resources valued at less than $4,000 in 2019. Benefits are available to married couples with income limits of $5,722 per month in 2019 or a resource limit of $6,000.  

The income limit amounts listed above may increase in 2020. If your income or resources are close to these amounts, you should still apply. 

You automatically qualify for Medicare Extra Help if you qualify for the QMB program, the SLMB program or the QI program.

Medicare Extra Help

Extra Help is a federal program that helps pay for some of the out-of-pocket costs associated with Medicare Part D (prescription drug coverage).

These costs include:

  • Part D premiums
  • Part D deductibles
  • Part D copayments

Extra Help is also known as the Medicare Part D Low-Income Subsidy (LIS).

If you get Extra Help in 2019, your prescription drugs can’t cost more than $3.40 for each generic drug and $8.50 for each brand name drug that is covered by your Part D plan.

You may qualify for Extra Help in 2019 if you have less than $18,735 in annual income and less than $14,390 in resources. A married couple may qualify in 2019 if they have an annual income of $25,365 or less and less than $28,720 in resources.

“Resources” include things like stocks, bonds and money in a checking or savings account. It doesn’t include things like your home, a car or other household and personal items.

Children’s Health Insurance Program (CHIP)

CHIP is the Children’s Health Insurance Program, which provides low-cost health insurance to children in families who earn too much money to qualify for Medicaid. In some states, CHIP also provides coverage to pregnant women.

Each state has its own requirements for CHIP eligibility and coverage.

To learn more about CHIP in your state, call 1-800-318-2596 or visit the CHIP website for your state listed below.

State Health Insurance Program (SHIP)

SHIP is the State Health Insurance Program.

This state program receives federal funding to provide counseling, education, training and outreach for Medicare-eligible individuals and families.

The goal of SHIP is to help people make more informed decisions regarding their health care.

Information about your state’s SHIP program is included in the list below.

Housing Assistance

High medical bills can make it extremely hard for people to pay their rent or mortgage.

There are numerous resources available to help make housing more affordable for people who have lower incomes. If you can get help paying for some of your housing costs, you may be able to better afford the health care you need.

The Department of Housing and Urban Development (HUD) helps to improve and develop communities and enforce fair housing laws.

Learn about your state’s HUD program.

Some of the assistance programs available through HUD include:

  • Public Housing
    More than one million American households are part of HUD public housing, which can range from apartments to single family homes.

    Public housing is available to individuals and families who qualify based on their income.

    Learn more about public housing opportunities and eligibility in your state.

  • Housing Choice Vouchers
    Previously known as Section 8 housing, housing choice vouchers provide a way for people to better afford housing in the private market. Vouchers are paid for through federal funds and eligibility is determined by income.

    Get more information about housing choice vouchers and apply online.

  • Subsidized Housing
    Subsidized housing programs offer subsidies to property owners so that they can charge lower rents to their tenants.

    Find subsidized housing opportunities in your area.

State Health and Housing Cost Resources

Browse resources in your state that can help you pay for some of your health care and housing costs.

Select your state

 

Alabama

The state of Alabama offers a wide variety of resources to its residents over 65 who are looking to purchase a Medicare plan.

  • Alabama Department of Insurance – Here you can learn more about your health insurance options, including Medicare Advantage plans and prescription drug coverage.
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  • Alabama Agency on Aging – Through this website, you can find free, unbiased counseling regarding your Medicare benefits, coverage options and other Medicare questions you may have.
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  • Alabama Ageline – Through Ageline, Senior Rx provides financial assistance for seniors on a prescription drug plan, helping them get their medicine for free or at a low cost.
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Alaska

Alaska does not offer Medicare Advantage plans (Part C), but there are still other options for you to explore your Medicare coverage options and have your questions answered.

  • AARP Public Benefits Guide – AARP provides a comprehensive guide on how Medicare can help pay for your healthcare and prescription drug needs and how you can save with a Medicare Savings Program.
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  • Alaska DHSS- Senior and Disability Services – This site provides to a handful of helpful sites that deal with topics such as what you can expect when getting ready to enroll Medicare or Medicare Supplement Insurance plans and how to report fraud and abuse.
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  • Alaska Department of Retirement and Benefits – This site provides a detailed FAQ list that covers questions you may have about Medicare and other insurance options.
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  • Anchorage Senior Activity Center – Even if you don’t live in Anchorage, this site provides helpful information that will help you with the Medicare enrollment process.
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Arizona

Learn more about your Medicare benefits as an Arizona senior. Your state provides a plethora of information to help you become more knowledgeable.

  • Arizona Department of Economic Security – This government site provides information about Medicare Advantage plans that are available as part of a collaboration between Medicare and private insurance companies.
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  • SHIP – This service provided by the Arizona Department of Economic Security answers any questions you may have.
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  • AHCCCS – If you need help paying for your Medicare costs, the Arizona Health Care Cost Containment System may be able to help.
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  • Arizona Department of Insurance – This state department offers information on health care resources and long-term care resources for Arizona seniors.
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Arkansas

Arkansas provides plenty of options for you to learn more about Medicare and how to enroll.

  • Public Benefits for Arkansas Seniors – Go directly to pages 6-11 to learn more about your Medicare options in Arkansas.
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  • Arkansas Consumer Assistance – Although Arkansas stopped participating in in the federal Consumer Assistance Program grant in 2014, the state still provides assistance to those who may need it.
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  • AR Medicaid – Learn how your Medicaid benefits can work with your Medicare coverage.
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California

California provides a number of resources to help its residents navigate Medicare, including assistance programs and disability options.

Colorado

Colorado provides several resources to help residents navigate Medicare.

Connecticut

Use the websites below to learn more about Medicare and other resources available in Connecticut.

Delaware

Delaware offers several Medicare Assistance programs and a State Health Insurance Program that offers counseling and other services to Medicare recipients. The following sites provide more information about Medicare and other resources. 

District Of Columbia

Washington D.C. offers a few resources to Medicare recipients in the district, and there are a few options that seniors can explore for more information about their options.

  • DC Medicaid – Qualifying residents of the District of Columbia can receive help paying for medical services from doctors, hospitals and pharmacies who are enrolled in the program.
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  • Health Insurance Counseling – George Washington Law School’s Health Insurance Counseling Project is a free resource for Medicare beneficiaries who live in Washington, D.C. Their counselors can help with a number of Medicare questions and issues.
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  • Senior Service Network – Find out more about community-based agencies that help seniors in a number of ways, including through in-home relief and transportation services.
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Florida

Florida provides Medicare Savings Programs and other assistance to Medicare beneficiaries. Consult the following resources to learn more.

Georgia

Georgia offers Medicare Savings Programs and free health insurance counseling to residents of the Peach State. Click on the links below to learn more. 

Hawaii

Just as you would in the states on the U.S. mainland, you may qualify for Medicare assistance programs if you live in Hawaii. Check out these helpful links to learn more.

  • Hawaii SHIP – Find local help if you live in the Aloha State and receive Medicare benefits.
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  • AARP Guide to Public Benefits in Hawaii – This site includes information on eligibility and how to apply for Medicare Savings Programs.
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  • Hawaii Rx Card – Learn more about Hawaii’s prescription drug discount program that’s available to qualifying Hawaii residents.
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  • ADRC Hawaii — Find information and local resources for people with disabilities and for families, caregivers and other people who help people with disabilities. This includes people under age 65 who are disabled or who have ESRD.
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Idaho

The resources below can help you navigate Medicare benefits in Idaho.

  • Department of Insurance – This department can help you if you have any questions about a Medicare plan you have already enrolled in.
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  • Idaho Department of Health and Welfare – If you have concerns that you cannot afford health insurance, you may be eligible for Medicaid benefits.
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  • Senior Health Insurance Benefits Advisors – If you have a disability, end-stage renal disease, or just a general question about Medicare eligibility, contact these folks. This site also explains coverage choices and the different parts of Medicare available to Idaho seniors.  
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  • Idaho Commission on Aging – Learn how to detect and avoid Medicare fraud in order to help prevent abuse.
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  • U.S. News Health – This report includes detailed information about Medicare Advantage plans in Idaho.
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Illinois

Illinois offers a number of helpful resources that Medicare recipients will find useful. You can find Medicare Savings Programs to help you pay for Medicare out-of-pocket costs. Learn more below.

  • Illinois SHIP – Explore up-to-date Medicare information that’s pertinent to Illinoisans.
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  • Medicare Cost Sharing Expenses – Learn how Medicaid can help with Medicare cost sharing.
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  • Illinois Cares RX – Illinois’ prescription drug assistance program was discontinued in 2012 due to budget restrictions. The Illinois Drug Card and the Illinois Rx Card are two options, however, that some seniors may be able to use to get discounts on their prescription medications.
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Indiana 

The Hoosier State provides many resources for seniors who are looking to learn more about Medicare. Read below for more detailed health insurance information and other resources.

  • Indiana DOI – The state’s Department of Insurance can answer any questions you may have about Medicare — what it is, if you’re eligible, when you can enroll and what the benefits are.
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  • SHIP – This state health insurance program provides you with free, unbiased information about your health care options in Indiana.
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  • Hoosier Healthwise – Medicaid services may be able to help cover some Medicare costs.
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  • U.S. News Health – This report outlines the different Medicare Advantage plans that are available to you based on your zip code.
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  • Hoosier Rx – This pharmaceutical assistance program can help you with your part D premium payments if you are older than 65 and make less than $18,330 a year.
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Iowa

Iowa offers a number of resources on what Medicare covers, how you may be able to get help in paying your premiums and how to find other local resources.

Kansas

Kansas offers free counseling for those who are looking for answers to their Medicare questions. Read on to find out more and to learn about additional resources.

  • SHICK – Senior Health Insurance Counseling for Kansas provides seniors in the state with free information and advice to any questions they may have on Medicare.
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  • KanCare – The Division of Healthcare Finance helps the disabled and seniors, among other demographics, with covering costs of premiums.
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  • Commission on Aging – This site contains a detailed and comprehensive list of frequently asked questions about Medicare.
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Kentucky 

Residents of the Bluegrass State have access to Medicare Savings programs, free healthcare guidance and assistance with paying for prescription drugs. Read more to take advantage of these resources.

  • Medicare and Medicaid Prescription Drug Info – This site provides guidance on how you can cover certain medical services and supplies with Medicare.
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  • Medicare Savings Program Information – Certain individuals with limited incomes are eligible for partial financial assistance with Medicare premiums, deductibles, or coinsurance.
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  • U.S. News Health – This report includes a detailed outline of what Kentucky Medicare Advantage plans can entail.
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  • Kentucky SHIP – This organization provides a free service to seniors who are looking for answers about Medicare coverage, costs and other questions.
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Louisiana 

You can find Medicare Savings Programs and Medicare Advantage coverage in Louisiana. Find out more by visiting the sites below.

  • Louisiana SHIP – SHIP provides plenty of guidance to make sure you understand your Medicare coverage and all of the options available to you.
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  • Help With Medicare Costs – See all of the ways the state of Louisiana can offer assistance with Medicare.
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  • Medicare Savings Program – Louisiana Medicaid may be able to help you pay for some of your Medicare costs if you qualify.
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  • Louisiana SenioRx – This is a program that helps qualified Louisianans find discounted medications.
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Maine

Medicare beneficiaries in Maine have a number of resources at their fingertips. The Pine Tree State offers options for those with low incomes to help pay for their Medicare benefits, as well as resources to help pay for prescription drug costs and to help those with disabilities.

  • State of Maine Bureau of Insurance – The Bureau of Insurance provides a guide to Maine’s state resources for health insurance and Medicare questions.
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  • State of Maine Aging and Disability Services (SHIP) – Through SHIP, trained counselors offer free advice and guidance to Medicare beneficiaries in Maine.
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  • MaineCare – As Maine’s Medicaid program, MaineCare helps people living in the state get the help they need for out-of-pocket healthcare costs that Medicare doesn’t cover.
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  • Eligibility Guide – This is a resource for determining eligibility for MaineCare.
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  • Alpha One – Maine offers a number of resources for people living with disabilities. Learn more about Medicare benefits for those with disabilities.
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  • Maine Low Cost Drugs for the Elderly or Disabled – This is a state program to help people pay for prescription and over-the-counter drugs.
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  • Medicare Savings Programs (MSPs) –  Learn more about Maine’s state-specific guidelines for Medicare Savings programs.
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Maryland

If you live in Maryland, there are plenty of resources to help you learn about your Medicare coverage. You may qualify for Maryland Medicare Savings Programs. Visit these sites to learn more. 

  • Maryland SHIP – Maryland’s State Health Insurance Program can help you understand your Medicare benefits and rights. There are local offices that are ready to assist in all 24 counties.
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  • Medicare Savings Programs Application – Fill out this application to participate in the Qualified Medicare Beneficiary Program (QMB) or the Specified Low-Income Medicare Beneficiary Program (SLMB). If you qualify, the QMB program will pay your Medicare premiums, copayments and deductibles. The SLMB program pays your Part B premium only.
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  • Senior Prescription Drug Assistance Program (SPDAP) – Maryland’s SPDAP program offers assistance to qualifying seniors who need help paying for their prescriptions. You must be a Medicare recipient and have an income at or below 300% of the federal poverty level.
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Massachusetts

The Bay State and home of the Boston Red Sox boasts more than just recent baseball greatness. Massachusetts also offers a variety of helpful resources for Medicare beneficiaries.

Michigan

Michigan offers a number of resources to help Medicare recipients. Visit the websites below to find more helpful information.

  • Michigan Medicare/Medicaid Assistance Program (MMAP) – MMAP offers a wealth of information for both Medicare and Medicaid recipients to better understand their health coverage options.
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  • Medicare Buy-In Program – Also known as the Medicare Savings program, the buy-in program can help you pay for certain out-of-pocket costs you’ll encounter as a Medicare beneficiary.
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  • MiRx – Michigan’s Prescription Drug Discount card is a free program that helps residents who do not have prescription drug coverage.
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Minnesota

Minnesota offers assistance and a number of helpful resources to the state’s Medicare recipients. Learn more about Medicare in Minnesota.

  • Minnesota SHIP – The Minnesota Board on Aging’s volunteers serve seniors and provide answers about their Medicare coverage.
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  • Medicare Savings Programs – These programs can help Minnesotans pay for Medicare costs. Find out if you qualify.
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  • Low Cost Options for Prescription Drugs – This site provides a comprehensive list of programs in Minnesota that can help pay for the cost of medications.
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  • Medicare: The Details – This site offers up-to-date information on the Medicare program, including how the program works for people under age 65 who have disabilities.
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Mississippi

The Magnolia State has a lot to offer Medicare recipients. Check out the resources below to learn more about your options in Mississippi, including Medicare Savings Programs.

  • Mississippi SHIP – The Mississippi SHIP has volunteers on call to answer all of your question about your Medicare and Medicaid coverage.
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  • Medicare Cost-Sharing Programs – This site gives a brief overview of some cost-sharing programs available to Mississippi Medicare beneficiaries. Contact your local SHIP office to learn more.
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  • Mississippi Department of Insurance – The state department of insurance can help you learn more about your health insurance options, including Medicare coverage in Mississippi.
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Missouri

The Show Me State offers programs that can help Medicare beneficiaries with their out-of-pocket costs. Learn more about these and other Missouri resources by exploring the sites below.

  • Missouri CLAIM – This organization provides free and unbiased information about Medicare to beneficiaries and potential enrollees in Missouri.
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  • Missouri Department of Insurance – The state department of insurance offers free information and trained counselors to help educate Medicare beneficiaries.
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  • Programs to Help You Pay – This site provides a comprehensive list of resources that can help pay for out-of-pocket Medicare costs and prescription drug coverage.
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  • The Missouri Rx (MoRx) Plan – Missouri offers the MoRx Pharmacy Assistance Program to help coordinate Medicare Part D prescription drug benefits.
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Montana

Medicare beneficiaries in the Treasure State have plenty of resources available to them. Read on to learn more about Medicare and to find out if you qualify for certain programs that will help you cover some of your Medicare out-of-pocket costs.

  • Montana Guide to Medicare – This state website answers some of the questions you may have about your current or future Medicare enrollment.
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  • Big Sky Rx Program – If you are a Montana senior and you meet the income requirement, you may be eligible to receive assistance in paying for your prescription drug costs.
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  • SHIP – Montana SHIP’s mission is to advocate, educate and empower seniors and caregivers to help them make better and more informed decisions about Medicare.
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  • Medicare 101 – Here is more information about Medicare in Montana.
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Nebraska

Nebraska offers several valuable resources to help you learn more about Medicare coverage in the Cornhusker state.

  • SHIIP – SHIIP counselors can help seniors in Nebraska understand their healthcare insurance options for free.
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  • S. News Health – Learn about some of the Medicare Advantage plans and Medicare Part D plans that may be available in your area of Nebraska.
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  • Nebraska Department on Aging and Elder Services – This organization provides assistance with senior benefit programs, including Medicare.
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Nevada 

A plethora of resources about Medicare are available to you if you’re a senior living in the Sagebrush state. Read on to learn more about how to take advantage of them. 

  • SHIP – SHIP counselors can discuss all of your health care options and help you find which one might work best for you, all at no charge to you.
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  • Centers for Medicare and Medicaid Services – This site provides seniors in Nevada with additional resources you might need in order to enroll in Medicare. They can also help answer questions about Nevada health care coverage and payment options.
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  • Division of Welfare and Supportive Services – This site details some of the benefits that can come with the Medicare Beneficiaries program in Nevada.
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  • Nevada Senior Rx Program –  If you meet the eligibility requirements, you may be able to receive assistance in paying for your prescription drugs.
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New Hampshire

Are you a Medicare beneficiary living in New Hampshire? There is a lot of information at your fingertips. Learn how you may be able get some help paying for your Medicare expenses in the Granite State.

New Jersey

Here are some of the programs that can help you learn more about your Medicare coverage and make informed decisions if you live in New Jersey. There are a number of initiatives that could be of benefit to you.

New Mexico

Are you a senior living in the Land of Enchantment? There are a number of Medicare resources available to you, such as Centennial Care, a New Mexico program that could help cover some of your out-of-pocket healthcare costs. 

  • NM HICAP – The Health Insurance Consumer Assistance Program can help answer any questions you may have about Medicare coverage.
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  • Law Help New Mexico – This website describes the different parts of Medicare and what you can expect with the enrollment process.
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  • Centennial Care – Learn more about how Medicaid services may be able to help cover some of your healthcare costs.
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  • NM Aging and Long-Term Services Department – If you want to find more information on New Mexico health care, home delivered meals, transportation or assisted living centers, this department can offer some support.
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New York

The Empire State offers support for its residents in a number of ways, including drug assistance and Medicare Savings Programs. New York’s EPIC program is an additional resource that can help many eligible Medicare beneficiaries cover their out-of-pocket prescription drug costs.

North Carolina

North Carolina offers Medicare Savings Programs and prescription drug assistance to its residents. Click on the links below to learn more.

North Dakota

The Roughrider State offers a number of healthcare benefits to its seniors. Adults and Aging Services provides various programs that help North Dakota seniors live a comfortable and non-restrictive life, and there are several programs that can help with your prescription drug payments.

  • ND Insurance Department – This site provides information about the State Health Insurance Counseling Program, which offers neutral, unbiased advice about your health care options.
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  • Adults and Aging Services – The Department of Human Services offers programs that assist seniors and people with disabilities in North Dakota live safely and comfortably.
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  • Medicare FAQ – The ND Insurance Department provides a detailed FAQ list that will help you through the entire Medicare enrollment process.
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  • Prescription Connection – This program connects North Dakota citizens of all ages to discounted prescription drugs.
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Ohio

The Buckeye State offers several programs, counseling and other services to Medicare recipients. The following links provide more information.

  • Ohio Department of Aging – The Ohio Department of Aging provides a number of resources and information for older adults living in the state.
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  • Ohio Department of Insurance – This resource list includes all things Medicare in Ohio.
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  • Medicare Ohio Help – This organization put together a 60 page guide that can help teach you everything you need to know about the services and supplies that Medicare can provide to Ohio residents.
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  • Frequently Asked Questions By Ohio's Medicare Beneficiaries – You are not the only one that has a handful of questions about Medicare. The OH DOI put together a guide of the most commonly asked questions on this topic.
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  • Ohio Partnership for Long Term Care – This partnership program can help older adults in Ohio find resources for making long term care more affordable.
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Oklahoma

Take a look at the resources below to learn more about Oklahoma Medicare coverage and other insurance information. The Sooner State has a number of resources designed to help older adults understand and explore their options. 

  • Low-Income Subsidy for Prescription Drugs – This program is available for Medicare recipients who have limited means and need help paying for prescription drugs.
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  • Medicare Assistance Program – This is a go-to resource for all things Medicare in Oklahoma.
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  • Oklahoma SHIP – The Oklahoma SHIP offers free and unbiased information and counseling to Oklahoma residents regarding topics such as Medicare coverage and Medicare Advantage plans.
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Oregon

Oregon offers health insurance assistance options for those with disabilities and for people with limited financial resources. Learn more about some of the resources available to residents of the Beaver State.

Pennsylvania

Pennsylvania provides lots of information for its Medicare beneficiaries. From Extra Help to drug assistance programs, visit some of the sites below to further educate yourself on what’s available the Keystone State.

Rhode Island

Learn more about your Medicare benefits as a senior living in the Ocean State. Rhode Island provides a plethora of information to help you learn more about your coverage options.

  • Rhode Island Partnership for Long-Term Care – Medicare does not pay for the long-term care services that some seniors require, but with this state partnership program, you may qualify for at-home assistance.
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  • Division of Elderly Affairs – With this helpful resource, you can see if you qualify for Medicare benefits and for Medicare payment assistance programs.
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  • U.S. News Health – This report includes a detailed outline of what some Medicare Advantage plans may entail in the state of Rhode Island.
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  • Rhode Island Pharmaceutical Assistance – If you are over 65 years old or are age 55 and disabled, this program may be able to provide help in paying for your prescription drugs.
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South Carolina 

The Palmetto State offers supplemental health insurance and prescription drug assistance to its residents. Click on the links below to learn more about South Carolina health insurance options and Medicare information.

  • South Carolina Senior Citizens’ Handbook – This 71-page guide is an expansive resource for South Carolina seniors who want to know the ins and outs of laws and programs that affect them.
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  • South Carolina Medicaid Long Term Care Eligibility – In order to be eligible for this service, you must meet specific income criteria.
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  • SC SHIP – To assist in the complicated and sometimes confusing aspects of Medicare, this organization provides free and unbiased counseling to help you understand your healthcare options.
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South Dakota 

Here are a few resources to help you explore your Medicare benefits in the Mount Rushmore State. Valuable South Dakota insurance information is at your fingertips, such as how you may be able to get some help covering your Medicare costs.

  • Consumer Protection – The SD Attorney General put together this comprehensive site that gives valuable information about Medicare to seniors in South Dakota.
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  • Department of Social Services – If you are a senior and need help paying for your prescription drugs, you can consider enrolling in Medicare Part D to help offset some of the costs of your medications.
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  • Medicare Savings Program – This program assists individuals with payments on their Medicare expenses.
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Tennessee

Tennessee has several resources that could be helpful in your quest to learn more about your Medicare coverage. In Tennessee, there are Medicare Savings Programs that may help you save on Medicare costs. Check out some of the links below.

  • Tennessee SHIP – Tennessee’s SHIP offices can provide free assistance and counseling about your Medicare coverage.
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  • Medicare Cost Sharing Programs – There are four primary Medicare Cost Sharing programs that you may be eligible for in Tennessee.
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  • TN Medicare Help – This site is dedicated to educating Tennesseans on Medicare benefits and Medicare fraud.
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Texas 

Are you a Medicare recipient residing in Texas? Take a few minutes to educate yourself on some of the specifics of how Medicare works in the Lone Star State. Texas offers Medicare Savings Programs that follow federal income guidelines and asset limits. Here are some helpful links to use in your research.

Utah

If you are a senior living in the Beehive State, learn about what healthcare options are available to you and how you may be able to get assistance in covering some of the costs for your prescription drugs. 

  • New Medicare Rules – In 2008, the Department of Insurance updated their rules around Medicare.
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  • Medicare Advantage – This page provides a great variety of information about Medicare Advantage plans in Utah.
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  • Utah Health Insurance Consumer Help – The Centers for Medicare and Medicaid Services provide a list of agencies that can help answer questions you may have about health care coverage in Utah.
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  • Rx Connect Utah – This program links you to the prescriptions you need if you cannot afford them.
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  • Aging and Adult Services – Through the resources on this site, seniors can be connected to resources to help make their lives easier, such as transportation, meal deliveries and caregiver support.
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Vermont

The Green Mountain State provides a number of helpful resources that Medicare recipients may find useful.

  • Age Well Vermont — Vermont’s State Health Insurance Assistance Program (SHIP) offers several services for seniors, including a helpline, in-home visits, care transitions and more.
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  • VPharm — VPharm helps individuals enrolled in Medicare Part D pay for prescription medications. Eligible recipients pay a monthly premium for VPharm (the amount is dependent upon income and eligibility).
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  • Medicare Savings Programs (MSPs)  — Vermont Law Help put together this helpful information about how to apply for Medicare Savings Programs in Vermont.
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Virginia

Are you looking for more information on Medicare in the Old Dominion State? You have come to the right place. Virginia offers prescription drug assistance to qualifying residents and also offers a number of resources for seniors to learn more about their health insurance options. 

Washington

If you’re a Medicare beneficiary living in the Evergreen State, there is a lot of information that may be helpful to you regarding your health insurance options. Learn how you may be able to receive help paying for some of your Medicare expenses.

West Virginia 

Explore the resources available to you that can help you understand your Medicare benefits and health insurance options in West Virginia. The Mountain State provides services such as prescription drug assistance and Medicare Savings programs.

  • SHIP – This is a 25-year-old program that provides neutral and unbiased information on health care coverage to West Virginians.
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  • West Virginia Assistance Programs – There are a plethora of resources available in West Virginia that can assist state residents in paying for their needed medications.
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  • West Virginia Consumer Assistance Programs – West Virginia offers various consumer assistance programs that can help you with any questions you may have about Medicare.
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  • Medicare Savings Program – Read this helpful guide to see if you are dually eligible for both Medicare and Medicaid in West Virginia.
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Wisconsin

Below are some resources to help Wisconsinites understand their Medicare benefits and rights. Learn more about Medicare Savings Programs and other resources that are available to qualified Wisconsin seniors.

Wyoming

The Cowboy State offers several Medicare Assistance programs and a State Health Insurance Program that offers counseling and other services to Wyoming Medicare recipients. The following resources provide more information.

  • SHIP – Contact the State Health Information Program if you are trying to make a health care plan decision and need unbiased advice.
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  • U.S. News Health – Here is some information about Medicare Advantage plans and Medicare Prescription Drug plans that may be available in Wyoming.
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  • Wyoming Health Insurance Consumer Help – The organizations listed on this page can help you make the most of your Medicare options.
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Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

1 Dijulio, Bianca; et al. Data Note: Americans’ Challenges with Health Care Costs. (Mar. 2, 2017). Kaiser Family Foundation. Retrieved from www.kff.org/health-costs/poll-finding/data-note-americans-challenges-with-health-care-costs.

2 Medicaid.gov. Retrieved May 2019, from www.medicaid.gov/medicaid/index.html.

Medicare has neither reviewed nor endorsed this information.

Copyright © 2019 TZ Insurance Solutions LLC. All rights reserved.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.