Plan Name	CMS#	County	Low Income Subsidy
Allwell Medicare (HMO)	H0062-001	Aransas, Bexar, Comal, El Paso, Guadalupe, Jim Wells, Nueces and Wilson counties	Low Income Subsidy, H0062-001 - English (PDF) Low Income Subsidy, H0062-001- Spanish (PDF)
Allwell Medicare (HMO)	H0062-002	Collin, Dallas, Denton, Rockwall and Tarrant counties	Low Income Subsidy, H0062-002 - English (PDF) Low Income Subsidy, H0062-002- Spanish (PDF)
Allwell Medicare (HMO)	H0062-003	Cameron, Hidalgo and Starr counties	Low Income Subsidy, H0062-003 - English (PDF) Low Income Subsidy H0062-003- Spanish (PDF)
Allwell Medicare (HMO)	H0062 - 009	Fort Bend and Montgomery counties	Low Income Subsidy, H0062-009 - English (PDF) Low Income Subsidy, H0062-009 - Spanish (PDF)

Plan Name	CMS#	County	Low Income Subsidy
Allwell Dual Medicare (HMO D-SNP)	H5294-002-002	Cameron, Hidalgo and Starr counties	Low Income Subsidy, H5294-002-002 - English (PDF) Low Income Subsidy, H5294-002-002 - Spanish (PDF)
Allwell Dual Medicare (HMO D-SNP)	H5294-002-003	Collin, Dallas, Denton, Rockwall and Tarrant counties	Low Income Subsidy, H5294-002-003 - English (PDF) Low Income Subsidy, H5294-002-003 - Spanish (PDF)
Allwell Dual Medicare (HMO D-SNP)	H5294-002-004	Aransas, Bexar, Comal, El Paso, Guadalupe, Jim Wells, Nueces and Wilson counties	Low Income Subsidy, H5294-002-004 - English (PDF) Low Income Subsidy, H5294-002-004 - Spanish (PDF)
Allwell Dual Medicare (HMO D-SNP)	H5294-007	Fort Bend and Montgomery counties	Low Income Subsidy, H5294-007 - English (PDF) Low Income Subsidy, H5294-007 - Spanish (PDF)
Allwell Dual Medicare (HMO D-SNP)	H5294-009	Lubbock	Low Income Subsidy, H5294-009 - English (PDF) Low Income Subsidy, H5294-009 - Spanish (PDF)

Extra Help with Medicare

The Medicare Extra Help program is for anyone that has Medicare and Medicare Prescription Drug (Part D) coverage, but have limited income and resources such as savings and stocks. This does not include your home or car.

What does Medicare Extra Help cover?

The Extra Help program can save you up to $5,000 each year. Many people qualify for this savings but don’t know it.

If you qualify for the Extra Help program, you will get help paying for Medicare prescription drug costs that is a part of your Part D coverage such as your monthly premium, yearly deductible, prescription co-payments and coinsurance. This Extra Help also counts toward your out-of-pocket costs.

See if You Qualify for Extra Help

Some people automatically qualify for the Extra Help program and don't need to apply. Medicare will mail you a letter if you automatically qualify for Extra Help.

Your income and resources can change from year to year, so check to see if you qualify for the program if you didn’t receive a letter from Medicare or were previously denied for the Extra Help program.

Apply for Extra Help

Applying for Extra Help is easy. Just complete the Social Security’s application for the Medicare Extra Help program in the following ways.

By Phone

Call 1-800-772-1213 between 7:00 a.m. and 7:00 p.m., Monday through Friday. TTY users call 1-800-325-0778.

Apply Online

Complete an online application. (By clicking on this link you will be leaving the Allwell from Superior HealthPlan website.)

Social Security Online Application

In Person

Stop by your local Social Security office.

By Phone

Call 1-800-772-1213 between 7:00 a.m. and 7:00 p.m., Monday through Friday. TTY users call 1-800-325-0778.

Apply Online

Complete an online application. (By clicking on this link you will be leaving the Allwell from Superior HealthPlan website.)

Social Security Online Application

In Person

Stop by your local Social Security office.

After you apply, you will get a letter letting you know if you qualify for Extra Help and what you need to do next.

Level of Extra Help (Low Income Subsidy)

Your total monthly plan premium, copays, and deductibles may vary based on the level of Extra Help you receive.

The Low Income Subsidy (LIS) table shows you what your monthly plan premium will be if you get Extra Help.

Please select the document for your plan and county. If you have questions, call Member Services. We’re here to help.

For HMO Members:

Plan Name	CMS #	County	Low Income Subsidy
Allwell Medicare (HMO)	H0062-001	Aransas, Bexar, Comal, El Paso, Guadalupe, Jim Wells, Nueces and Wilson counties	Low Income Subsidy, H0062-001 - English (PDF) Low Income Subsidy, H0062-001 - Spanish (PDF)
Allwell Medicare (HMO)	H0062-002	Collin, Dallas, Denton, Rockwall and Tarrant counties	Low Income Subsidy, H0062-002 - English (PDF) Low Income Subsidy, H0062-002- Spanish (PDF)
Allwell Medicare (HMO)	H0062-003	Cameron, Hidalgo and Starr counties	Low Income Subsidy, H0062-003 - English (PDF) Low Income Subsidy, H0062-003- Spanish (PDF)
Allwell Medicare (HMO)	H5294 - 011	Aransas, Bee, Brooks, Cameron, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Nueces, Refugio, Starr, Willacy and Zapata counties	Low Income Subsidy, H5294-011 - English (PDF) Low Income Subsidy, H5294-011 - Spanish (PDF)
Allwell Medicare Boost (HMO)	H5294 - 012	Aransas, Bee, Brooks, Cameron, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Nueces, Refugio, Starr, Willacy and Zapata counties	Low Income Subsidy, H5294-012 - English (PDF) Low Income Subsidy, H5294-012- Spanish (PDF)
Allwell Medicare Complement (HMO)	H5294 - 013	Aransas, Bee, Brooks, Cameron, Goliad, Hidalgo, Jim Hogg, Jim Wells, Kenedy, Kleberg, Nueces, Refugio, Starr, Willacy and Zapata counties	Low Income Subsidy, H5294-013 - English (PDF) Low Income Subsidy, H5294-013- Spanish (PDF)
Allwell Medicare Simple (HMO)	H5294 - 014	Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burnet, Caldwell, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grimes, Guadalupe, Hale, Hamilton, Hays, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Willacy, Williamson, Wilson, Zapata and Zavala counties	Low Income Subsidy, H5294-014 - English (PDF)
Allwell Medicare Complement (HMO)	H5294 - 016	Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bexar, Blanco, Borden, Bosque, Briscoe, Burnet, Caldwell, Calhoun, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Gonzales, Grimes, Guadalupe, Hale, Hamilton, Hays, Hill, Hockley, Hunt, Irion, Jack, Karnes, Kendall, Kent, Kimble, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Palo Pinto, Real, Rockwall, San Saba, Shackelford, Somervell, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Williamson, Wilson and Zavala counties	Low Income Subsidy, H5294-016 - English (PDF) Low Income Subsidy, H5294-016 - Spanish (PDF)
Allwell Medicare (HMO)	H5294 - 017	Atascosa, Bandera, Bexar, Comal, Guadalupe, Karnes, Kendall, Medina and Wilson counties	Low Income Subsidy, H5294-017 - English (PDF) Low Income Subsidy, H5294-017- Spanish (PDF)
Allwell Medicare (HMO)	H5294 - 018	Lubbock county	Low Income Subsidy, H5294-018 - English (PDF) Low Income Subsidy, H5294-018 - Spanish (PDF)

For HMO D-SNP Members:

Plan Name	CMS #	County	Low Income Subsidy
Allwell Medicare Nurture (HMO D-SNP)	H5294 - 010	Aransas, Armstrong, Atascosa, Bailey, Bandera, Bee, Bexar, Borden, Bosque, Briscoe, Brooks, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grimes, Guadalupe, Hale, Hamilton, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Willacy, Wilson, Zapata and Zavala counties	Low Income Subsidy, H5294-010 - English (PDF) Low Income Subsidy, H5294-010 - Spanish (PDF)
Allwell Dual Medicare Harmony (HMO D-SNP)	H5294 - 015	Aransas, Armstrong, Atascosa, Bailey, Bandera, Bastrop, Bee, Bexar, Blanco, Borden, Bosque, Briscoe, Brooks, Burnet, Caldwell, Calhoun, Cameron, Castro, Cochran, Coke, Collin, Colorado, Comal, Crosby, Dallas, Denton, DeWitt, Dickens, Dimmit, Donley, Duval, El Paso, Erath, Fayette, Fisher, Floyd, Garza, Gillespie, Glasscock, Goliad, Gonzales, Grimes, Guadalupe, Hale, Hamilton, Hays, Hidalgo, Hill, Hockley, Hunt, Irion, Jack, Jim Hogg, Jim Wells, Karnes, Kendall, Kenedy, Kent, Kimble, Kleberg, La Salle, Lamb, Lee, Leon, Limestone, Lubbock, Lynn, Martin, Mason, Maverick, McCulloch, McMullen, Medina, Milam, Mills, Mitchell, Navarro, Nolan, Nueces, Palo Pinto, Real, Refugio, Rockwall, San Saba, Shackelford, Somervell, Starr, Sterling, Swisher, Tarrant, Terry, Throckmorton, Uvalde, Willacy, Williamson, Wilson, Zapata and Zavala counties	Low Income Subsidy, H5294-015 - English (PDF) Low Income Subsidy, H5294-015 - Spanish (PDF)

Medicare Extra Help | Allwell from Superior HealthPlan

Medicare's "Extra Help" Program

For HMO Members:

For HMO SNP Members:

Extra Help with Medicare

What does Medicare Extra Help cover?

See if You Qualify for Extra Help

Apply for Extra Help

By Phone

Apply Online

In Person

By Phone

Apply Online

In Person

Level of Extra Help (Low Income Subsidy)

For HMO Members:

For HMO D-SNP Members:

Medicare Extra Help | Allwell from Superior HealthPlan

Medicare's "Extra Help" Program

Low Income Subsidy (LIS) 2020

For HMO Members:

For HMO SNP Members:

Extra Help with Medicare

What does Medicare Extra Help cover?

See if You Qualify for Extra Help

Apply for Extra Help

By Phone

Apply Online

In Person

By Phone

Apply Online

In Person

Level of Extra Help (Low Income Subsidy)

Low Income Subsidy (LIS) 2021

For HMO Members:

For HMO D-SNP Members: