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The simple, four-page application is available at your local Social Security Administration office. You can also get an application form by calling Social Security's toll-free number: 1-800-772-1213, Monday – Friday, 7 a.m. to 7 p.m. (TTY: 1-800-325-0778).
Or you can apply for Extra Help online:
The application is secured, which means only you and the Social Security Administration can see the information you provide.
The CarePlus Social Services department helps members apply for public assistance. They work with programs like the Medicare Savings Program (coordinated with the State Medicaid program) and the Extra Help prescription drug assistance program among others. CarePlus has been helping members with their Medicare/Medicaid dual eligibility status since 2002. Using this service is completely voluntary. If you choose not to use this service, your enrollment into a CarePlus plan will not be affected.
The specific agency that offers the options for assistance will be the one responsible to determine your eligibility. You are also free to apply for public assistance directly with the sponsoring agency.
For more information on the services offered by our Social Services team, please see the brochure by clicking on the following links below.
Social Services Department Brochure
Remember, applying for Extra Help is NOT the same as joining a prescription drug plan. Whether you qualify for Extra Help or not, you must also enroll in a plan to get prescription drug coverage. The amount of Extra Help varies based on your income and resources.