Social Services

States have programs that help pay your Medicare premiums and in some cases, copays and coinsurance. Physicians Health Choice has partnered with Social Service Coordinators® (SSC) to assist you in applying for these valuable benefits. Plus, you may also be eligible for help with costs of obtaining prescription drugs through a Medicare drug plan.

• To qualify if you’re single: Your gross monthly income must be under $1,381.25 with less than $12,640 in assets.
• To qualify as a couple: Your gross monthly income must be under $1,858.75 with less than $25,260 in assets.

To apply for these money saving programs, or to find out if you qualify, call:

Social Service Coordinators® at 1-877-357-2553, TTY/TDD 1-877-644-3244, Monday – Friday, 9:00 a.m. – 6:00 p.m. Central Time.

Your participation is voluntary and you are not obligated to provide any information. There is no cost to you to apply for these programs or for SSC’s help and your health plan benefits will not be affected. Any information you provide to SSC will be kept private and will not be shared with anyone outside of the application process. SSC will only use this information to see if you qualify for Medicaid, Extra Help or Golden Touch® programs. While SSC will assist with your application, only the Medicaid agency in your state can approve your application for benefits.

You may call the Texas Department of Aging and Disability Services, Health Information Counseling and Advocacy Program (HICAP), 1-800-252-9240, TTY 1-866-839-2747, for more information on Medicare Savings Programs.

Medicare Savings Program

The Medicare Savings Program may save people with Medicare as much as $1,100 per year in Medicare Part B monthly premiums. This program may also pay:

• Medicare/health plan deductibles
• Medicare/health plan co-pays and co-insurance for certain services

Low Income Subsidy (LIS) Program

The Low Income Subsidy Program (also known as Part D Extra Help) helps people save money on their prescription drug costs. Individuals who qualify pay $2.60 or less for each generic drug and $6.50 or less for each brand-name drug. This program may also help pay:

• Monthly Medicare Part D premiums
• Annual Medicare Part D deductibles
• Prescription co-payments

Click here to view the plan premiums.

If you have questions about these programs or what level of help you have qualified for, you may contact the Social Security Administration at 1-800-772-1213 (TTY/TDD users should call 1-800-325-0778) between 7 a.m. and 7 p.m., Monday through Friday; or your state’s Medicaid program at:

• Texas Medicaid: 1-800-252-8263

If you do not have prescription drug coverage, you may be eligible to get the medicine you need at little or no cost. Visit The Partnership for Prescription Assistance at www.pparx.org for more information.

To see if you qualify for money-saving programs from the drug manufacturers, please visit www.NeedyMeds.org. Click below to download their brochure.

NeedyMeds Brochure

You may also contact the drug manufacturer directly to see if you are eligible for a discount.