Members enrolled with Passport Advantage receive full Medicaid coverage through Kentucky Medicaid. Being eligible for and receiving Medicaid allows you to qualify for and receive “Extra Help” from Medicare to pay for prescription drug costs.

Extra Help, also called Low-Income Subsidy (LIS), is a Medicare program created to help people with limited income and resources pay for their Medicare prescription drugs, premiums, deductibles, copayments and coinsurance.

If you believe that you are paying an incorrect cost-sharing amount when you get your prescription at a pharmacy, our plan has established a process that allows you to either request assistance in obtaining evidence of your proper copayment level, or, if you already have the evidence, to provide this evidence to us. See the listing below for Best Available Evidence (BAE) accepted by Medicare.

By Mail:
Passport Advantage
Attn: Member Services
5100 Commerce Crossings Drive
Louisville, KY 40299

By Fax: 1-888-517-7723

If you need assistance, you may contact Passport Advantage Member Services at 1-844-859-6152, available from April 1 to September 30, Monday – Friday, 8 am to 9 pm EST (8pm CST) and from October
1 to March 31, 7 days a week, 8 am to 9 pm EST (8pm CST). TTY/TDD users call 711.

For More Information

Members can learn more about Extra Help in our Evidence of Coverage or view additional information provided by Medicare at https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Best_Available_Evidence_Policy 

 

Accepted Best Available Evidence (BAE):

  •  A copy of the Medicaid card that includes the member’s name, eligibility date, and status level;
  •  A copy of a state document that confirms active Medicaid status;
  • A print out from the State electronic enrollment file showing Medicaid status;
  •  A screen print from the State’s Medicaid systems showing Medicaid status;
  •  Other documentation provided by the State showing Medicaid status;
  • A letter from SSA showing that the individual receives SSI; or,
  • An Application Filed by the Deemed Eligible confirming that the beneficiary is “…automatically
    eligible for extra help…” (SSA publication HI 03094.605)
  • Remittance from a facility showing Medicaid payment for a full calendar month for that
    individual
  • Copy of a state document that confirms Medicaid payment on behalf of the individual to the
    facility for a full calendar month
  • Screen print from the State’s Medicaid systems showing that individual’s institutional status
    based on at least a full calendar month stay for Medicaid payment purposes

 

 

 

 

Last Modified: September 17, 2020