Medicare Prescription Drug Coverage
Department Of Health And Human Services, Centers For Medicare And Medicaid Services
To provide prescription drugs to Medicare beneficiaries through their voluntary participation in prescription drug plans, with an additional subsidy provided to lower-income beneficiaries.
Jargon-free version
Helps Medicare beneficiaries get prescription drugs through voluntary plans, with extra support for low-income individuals.
Quick Facts
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What Is This Program?
What Benefits Are Offered?
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Browse Partner Directory🏆 Detailed Application Guide
📋What Are the Application Steps & Timeline?
- 📝Steps to Apply
- Complete the enrollment request form (CMS-40B)
- If applicable, complete Form CMS L564 for employment information
- Submit the completed forms to your local Social Security office
- 🌐Application Portal
- https://www.healthcare.gov/
- 📤Submission Method
- 📅Key Dates
- January 1, 2026Enrollment period beginsMarch 31, 2026Enrollment period ends
- 🔄Intake Type
- fixed-deadline
📄What Documents Are Required?
- ✅Required Documents
- written proof of circumstances preventing enrollment
- documents from employer or health plan showing incorrect information
- document from state or health plan showing Medicaid coverage end date
- proof of exceptional conditions
- 📎Optional Documents
- Attestation form
- 📐Format Requirements
- PDF only, max 10MB
- 📥Templates Available
- ✉️Supporting Letters
- Letters of support are not explicitly required but may be needed for proof of circumstances.
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💰What Expenses Are Eligible?
🤝Is Matching Funding Required?
- 🔀Matching Required
- No
📊What Are the Reporting Requirements?
- 📑Reporting Requirements
- CMS-L564 ”Request for Employment Information”
How Do I Apply?
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FAQFrequently Asked Questions
Visit the program page for detailed eligibility requirements.
Contact the program administrator for funding details.
This program accepts applications on a rolling basis.
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