Prescription Drug Extra Help
If you receive extra help from Medicare to pay your Medicare prescription drug plan costs, your monthly plan premium will be lower than if you did not receive assistance. All Extra Help qualified members have $0 monthly Part D premium.
Depending on your circumstances, your copays may differ depending on your low income cost sharing (LICS) amount. The tables below show you what your copays will be if you receive Extra Help.
All Prominence Medicare Advantage Plans
| Your level of low income cost sharing (LICS) | 2026 Prescription Copays for Generic Drugs | 2026 Prescription Copays for Brand Drugs |
|---|---|---|
| LICS Level #1 | $5.10 | $12.65 |
| LICS Level #2 | $1.60 | $4.90 |
| LICS Level #3 | $0.00 | $0.00 |
Cost-sharing may change if you enter another phase of the Part D benefit.
Prominence Plus premiums include coverage for both medical services and prescription drug coverage.
To see if you qualify for extra help from Medicare, please call:
- 1-800-Medicare (TTY/TDD users call 877-486-2048).
- Your State Medicaid Office.
- The Social Security Administration at 800-772-1213. TTY/TDD users should call 800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
If you have any questions, please call Member Service at 855-969-5882 (TTY/TDD: 711).
Enroll in a Prominence Health Plan Medicare Advantage plan.
The comprehensive provider network offers members excellent access to quality medical services.
