Medicare Advantage UW Health Low-Income Subsidy

Help with Medicare Prescription Drug Costs

If you qualify, you will not pay as much for your medications.

For more information:

• Visit the Extra Help website (By clicking on this link, you will leave the Quartz Medicare Advantage website)
• Call Social Security at (800) 772-1213 (for the hearing impaired, TTY (800) 325-0778)

If you have the necessary documentation, we can help fix your eligibility issues. Contact a Quartz Champion for help.

Where can I get information about Best Available Evidence (BAE)? How does the CMS website help you?

You can visit the CMS website. (By clicking on this link, you will leave the Quartz Medicare Advantage website).

If you are a Quartz Medicare Advantage member that qualifies for Part D Low Income Subsidy, please refer to the information below.

Have you qualified for Extra Help but are still paying a full copayment for your medicine?

If you believe you are paying an incorrect drug copayment and you have qualified for Extra Help, Quartz Medicare Advantage can help confirm your eligibility. *

We can help you if you have ONE of following documents:

1. A copy of the beneficiary’s Medicaid card (including the beneficiary’s name and eligibility date)
2. A copy of a state document that confirms active Medicaid status
3. A printout from the state electronic enrollment file showing Medicaid status
4. A screen print from the state’s Medicaid system showing Medicaid status
5. Other documentation provided by the state showing Medicaid status
6. A letter from the Social Security Administration (SSA) showing that the individual receives Supplemental Security Income (SSI)
7. An Important Information letter from SSA confirming that the beneficiary is “automatically eligible for extra help”

For Institutionalized Members

Institutionalized members may have a zero cost-sharing level. In order for the member to get that benefit, Quartz Medicare Advantage must provide Medicare ONE or more of the following documents:

1. A remittance from the care facility (institution); the remittance must show a Medicaid payment for a full calendar month
2. A copy of a state document that confirms Medicaid payment to the care facility on behalf of the member for a full calendar month
3. A screen print from the state’s Medicaid system showing the member’s institutional status, based on at least a full calendar month’s stay for Medicaid payment purposes

*Quartz Medicare Advantage follows Medicare’s Best Available Evidence Policy. (By clicking on this link, you will leave the Quartz Medicare Advantage website.)