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Wellcare | Product Pointers – Low Income Subsidy (LIS) Plans

November 21, 2023

At Wellcare, we understand some beneficiaries have limited income and resources, but don’t qualify for a zero cost-share Dual Eligible Special Needs Plan (D-SNP). That’s why we offer Low-Income Subsidy (LIS) plans designed specifically for members who receive the LIS (also known as Extra Help) from the government, for assistance with Medicare Prescription Drug plan costs.

Key Features

  • Low-Income Subsidy (LIS) plans are specifically designed to complement the government’s LIS program.
  • More meaningful medical and supplemental benefits focus on members’ overall health, as prescription needs are addressed by the subsidy.
  • Ideal for beneficiaries who receive Extra Help for Part D from the government, but do not qualify for a zero cost-share D-SNP, and are seeking richer benefits than those offered by a $0 premium plan.
  • Additional competitive benefits are available in full dual eligibility plans as well.
  • NEW for 2024 – Beneficiaries with incomes up to 150% of Federal Poverty Guidelines, and resources at or below the limits for partial LIS benefits, are now eligible for full LIS benefits.

Please note that it is important to fully understand LIS status at the point of enrollment in order to properly articulate premium, deductible and copays, and select the best plan match for your member.

More information about Wellcare LIS plans is available in the resources below:

LIS Fact Sheet

LIS Product Overview Video

As always, thank you for your continued partnership!

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

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Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
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