If you qualify for full Extra Help, you pay no more than $4.50 for generics and $11.20 for brand-name drugs

Even if you do not fully qualify, partial Extra Help can save you hundreds per year

Reapply if your income or resources change — many people become eligible after life events

Medicaremoderate

Extra Help / Low-Income Subsidy Application

SSA-1020 · SSA

Application for Extra Help with Medicare prescription drug plan costs. Can save up to $5,000/year on Part D premiums, deductibles, and copays.

Form Details

Total fields: 50
Auto-fillable: 25 (50%)
Time without BeneFill: 45 minutes
Time with BeneFill: 12 minutes
Time saved: 33 minutes
Filled by: patient
Frequency: one time

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Where to Submit This Form

🌐

SSA.gov (recommended)

https://www.ssa.gov/i1020/

Apply online for Extra Help with Medicare prescription drug costs.

📬

Mail to Social Security Administration

Social Security Administration Wilkes-Barre Data Operations Center PO Box 1020 Wilkes-Barre, PA 18767-9899

🏢

In person at local SSA office

https://secure.ssa.gov/ICON/main.jsp

Required Attachments

📎 Information about income (wages, Social Security, pensions)
📎 Information about resources (bank accounts, stocks, bonds, real estate other than your home)
📎 Proof of income and resources may be requested after filing

Processing Time

About 30 days. You will receive a notice of approval or denial.

What Happens Next

If approved, you will pay reduced premiums, deductibles, and copays for Medicare Part D prescription drugs. Savings can be worth $5,000+ per year.

Tips for This Form

✓ If you qualify for full Extra Help, you pay no more than $4.50 for generics and $11.20 for brand-name drugs
✓ Even if you do not fully qualify, partial Extra Help can save you hundreds per year
✓ Reapply if your income or resources change — many people become eligible after life events

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