Wellcare Dual Align (HMO D-SNP): Medicare Extra Help

This program helps cover your prescription drug costs, including premiums, deductibles, and copayments

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Cost
$0
Prior Authorization Required
No
Provider Referral or Order Required
No

How To Receive

Details on how to apply

  • You don’t need to take any additional steps—your Extra Help benefits are already in place


How to Get Help or Ask Questions

If you need assistance or have questions about your Extra Help benefits, contact:

  • Medicare: 1-800-MEDICARE (1-800-633-4227) | TTY: 1-877-486-2048 (Available 24/7)

  • Social Security Administration (SSA): 1-800-772-1213 | TTY: 1-800-325-0778 (Monday–Friday, 8 AM–7 PM)

  • California Medi-Cal Office: Refer to your plan’s member resources for state-specific contact details


What to Do If You’re Charged the Wrong Copayment

If you believe you are being charged the wrong amount at your pharmacy, you can:

  • Call Member Services at 1-800-431-9007 (TTY users should call 711) and explain that you qualify for Extra Help

  • Provide supporting documents to verify your eligibility, such as:

    • Your Medi-Cal card showing active coverage.

    • A state-issued document confirming Medi-Cal eligibility.

    • A printout from California’s Medi-Cal system showing your status.

    • A letter from Social Security confirming your Supplemental Security Income (SSI).

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The Medicare Extra Help program, also known as the Low-Income Subsidy (LIS), is designed to assist individuals with limited income and resources by covering some or all of their Medicare prescription drug costs.

If you qualify, you are automatically enrolled in Extra Help, meaning you receive reduced or zero-cost premiums, deductibles, and copayments for your Medicare Part D prescription drug plan. This program ensures that essential medications remain affordable, preventing financial strain due to high drug costs. If you believe you are being charged incorrectly at the pharmacy, you can request a cost adjustment by providing documentation of your eligibility.

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