Limited Income Newly Eligible Transition Program (LINET)

The Limited Income Newly Eligible Transition Program, or LINET, is run by Humana. It helps you get prescription drug coverage right away if you qualify and do not have any other drug coverage. This coverage is temporary, usually lasting 1 to 2 months, so you have time to pick a Medicare Part D plan.

LINET may also pay you back for prescriptions you paid for out of your own pocket during your temporary coverage period.

Download Application

What does LINET cover?

LINET helps pay for prescription drugs covered under Medicare Part D. Some drugs are not covered under Part D—see the list of excluded drugs here.

If you qualify for LINET, you can get temporary coverage for your medications right away.

LINET includes:

• Temporary prescription coverage (1-2 months)
• No monthly fees
• Low-cost prescriptions

You can use your LINET benefit at any pharmacy. You may also be able to get money back for prescriptions you already paid for.

How do I know if I'm eligible for LINET?

You may qualify for LINET if:

• You already have Medicare Part D Extra Help, and you also:
  • Have Medicare and Medicaid (full-benefit dual-eligible)
  • Get Supplemental Security Income (SSI) but don’t have Medicaid
  • Have a Medicare Savings Program (MSP), such as QMB, SLMB, or QI
  • Applied for Extra Help and got an approval letter
• You do not have other prescription drug coverage, such as:
  • A Medicare Part D plan
  • A Retiree Drug Subsidy (RDS) plan
  • Veterans Affairs (VA) drug coverage
• You are NOT in a Medicare Advantage plan that includes drug coverage
• You live in one of the 50 U.S. states or Washington, D.C.

Which prescription drugs are covered by LINET?

All Medicare Part D-approved medicines are covered by LINET. The program does not cover medicines excluded by Part D.

You cannot get more than a 60-day supply of a medicine under LINET. For some drugs, like opioids, the limit is 30 days.

How do I apply for LINET?

Most people are automatically enrolled in LINET by Medicare, which means you do not need to apply. Look out for a purple letter from Medicare if you are eligible.

If you are not automatically enrolled, you can sign up at the pharmacy by showing proof of having Medicare Part D Extra Help, such as:

• A letter from Social Security or Medicare saying you were approved for Extra Help
•  A Medicaid award letter with your coverage dates
•  A state Medicaid system record showing you qualify

You can also download and print the LINET application, fill it out and mail it to:

LINET
P.O. Box 14310
Lexington, KY 40512-4310

You can also fax the completed application to 1-877-210-5592.

Do you need a prescription right away?

If you have not heard from LINET but need your medicine, follow these steps:

• Take your prescription and Medicare ID card to the pharmacy
• Ask the pharmacist to bill LINET using:
  • BIN: 015599
  • PCN: 05440000
• If you or your pharmacist need help, call LINET at 1-800-783-1307

Did you already pay for a prescription?

If you paid for prescription drugs before you were enrolled in LINET, you may be able to get your money back. But this is not possible in all cases.  If you receive a yellow CMS letter (No. 11154) stating that you’ve been auto-enrolled in a Part D plan, retroactive coverage does not apply.

If you do have retroactive coverage and want to request reimbursement for prescriptions, start by checking the first page of your LI NET Welcome Letter to find your LINET coverage dates. Then, follow the steps on the Prescription Drug Claim Form that came with the letter to request a refund. You have up to 36 months from the date you got your prescription to ask for reimbursement.

If you need a drug claim form, you can download and print it here.

How long can I keep LINET?

LINET prescription drug coverage is temporary, usually lasting 1 to 2 months. This gives you time to pick a Medicare Part D plan that works for you. If you do not choose a Part D plan, Medicare will enroll you in a basic plan.

Who can I call for help?

If you need help applying for LINET or have questions about this program, you can:

• Call the LINET Help Desk at 1-800-783-1307 (TTY: 711), available 8 a.m. – 11 p.m. ET
• Call your state Medicaid office: Find your state's phone number at Medicaid.gov
• Read the LINET Program Evidence of Coverage document for details on costs, benefits, and how to file a complaint or visit Humana's LINET page for more information.