By completing this form, you will start your application process for a Medicare Savings Program. We will send information to your State who will contact you to help you apply for a Medicare Savings Program unless you tell us not to by answering question 15 on this form.

If you can't find the form you need, or you need help completing a form, please call us at 1-800-772-1213 (TTY 1-800-325-0778) or contact your local Social Security office and we will help you. If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you.

If the field office (FO) receives an SSA-1020-OCR, Application for Extra Help with Medicare Prescription Drug Plan Costs, in-person, by mail, or at an outreach event, the FO should enter the application data into the Medicare Application Processing System (MAPS).

By completing this form, you will start your application process for a Medicare Savings Program. We will send information to your State who will contact you to help you apply for a Medicare Savings Program unless you tell us not to by answering question 15 on this form.

Form SSSA-1020- SA-1020- -INST-INST (2-2005) Page 1 Do you (or the person you are helping apply) have Medicare and Supplemental Security Income (SSI) or Medicare and Medicaid or does your state pay your Medicare premiums? If the answer is YES, do not complete this application because you automatically will get the extra help. You will receive ...

2013年3月15日 · Medicare Prescription Drug Plan Help (i-1020) Verify Information. Social Security Number Verification System (SSNVS) State On-Line Query Internet(SOLQ-I) Submit Records / Reports. Electronic Records Express (ERE) Electronic Wage Reporting (EWR)

The Internet application (i1020) is an interactive self-help form designed to capture all inputs by the claimant (or third party on behalf of the claimant) and subsequently propagate this data to the Medicare Determination process without any intervening action by an adjudicator. The screens are similar to, and elicit the same information as ...

(Form SSA-1020). Resources and income. What is the resource limit? To be eligible for . Extra Help, your resources must be . limited to $17,600 for a person or $35,130 for a married couple living together. Resources include the value of the things you own. Some . examples are: • Real estate (other than your primary residence).

If a beneficiary calls and needs help with the Extra Help application or needs a form to file for Extra Help, 800# agents should follow Medicare Prescription Drug Subsidy eligibility and filing instructions (TC 24020.020).

Form SSA-1020B-OCR-SM-SP (01-2021) Recycle prior editions. Administración del Seguro Social Información importante. Usted podría tener derecho a recibir el Beneficio Adicional para ayudar con los gastos de sus medicamentos recetados. El programa de Medicare de medicamentos recetados le ofrece la opción de distintos planes de