Medicaid, Low-Income Subsidy and Special Needs Plans

Idaho Medicaid

If you are unsure what Medicaid is or how it works, please take the time to read and understand the material found here.  This will give you the foundation you need to talk with the state Medicaid office.  Learn the distinction between Medicaid and the various Medicare Saving Programs (MSP) here.

Idaho Medicaid is part of a joint federal and state program that helps pay medical costs for certain groups of people with limited income and resources. Individual states have their own unique qualifications for Medicaid eligibility.  If you qualify for Idaho Medicaid, you automatically qualify for Extra Help (described below).

Another Idaho Medicaid resource is the booklet titled “Idaho Health Plan coverage“.  You can apply for Idaho Medicaid through the Social Security Administration.  This is their contact information:


Programs available for people with disabilities

It doesn’t matter if you are under or over age 65 and have a disability, keep reading. There is excellent material available here that will give you the information you need.  Be prepared to take the time to read and learn this content.  Plan on a good 45 minutes of reading.  When you are finished, you will know what to do, who to contact, and what your possibilities are.


Low-Income Subsidy

This program, also called Extra Helpis designed to help pay for your Medicare prescription drug costs and potentially part/all of your prescription drug plan premium.  Who is eligible?  People with income and assets below specific limits.  CMS publishes these limits annually.  This information can be found here.

If your annual income/assets are equal to or lower than these limits, apply for ‘Extra Help’.  Your monthly premium for your MAPD or PDP plan could be lower if you qualify.   You can apply anytime during the year that you meet the qualification requirements.   If you qualify, we can help you find the lowest cost MAPD or stand alone PDP plan that best meets your needs and budget. Call us.

Call the Social Security Administration and apply for ‘Extra Help‘.  They may take your application over the phone or may direct you to the “Application for Help with Medicare Prescription Drug Plan Costs”(form number: SSA-1020).  


Special Needs Plans

Medicare Special Needs Plans (SNP) is a unique Medicare Advantage Plan (like an HMO or PPO) that limits membership to people with specific diseases or characteristics.  You can join a SNP if one is offered in your area, you have Medicare Parts A and Part B, and have a chronic condition, live in an institution (like a nursing home), or you require nursing home care at your home.  Learn more about SNP’s.  Learn more about a SNP plans in Idaho.


This page was last modified on Jan 13, 2015 @ 5:21 PM