Humana is committed to providing beneficiaries with information and valuable resources about the LI NET program.
LI NET is a Medicare program that provides immediate prescription coverage for Medicare beneficiaries who qualify for Medicaid or ”Extra Help” and have no prescription drug coverage.
Enrollment in LI NET is temporary, usually for 1 to 2 months. As a beneficiary, this temporary coverage provides you with adequate time to choose a Medicare Part D prescription drug plan that best fits your needs. If by chance, you do not select a plan within this timeframe, Medicare will automatically enroll you into a benchmark plan.
Coverage for out-of-pocket expenses during eligible periods (retroactive coverage) is also available by submitting a direct member reimbursem*nt form.
How can the LI NET program help me?
Imagine you’re at a pharmacy counter, and you need your prescription filled. You’ve signed up for Medicare Part D drug coverage, and you qualify for ”Extra Help,” but your Part D coverage hasn’t started yet.
The LI NET program provides immediate prescription drug coverage for people in your situation. LI NET covers all Part D drugs and there are no network pharmacy restrictions during the time period you are covered by this program.
Note: LI NET does not cover drugs excluded from the Part D program.
Imagine you’re at a pharmacy counter, and you need your prescription filled. You’ve signed up for Medicare Part D drug coverage, and you qualify for ”Extra Help,” but your Part D coverage hasn’t started yet.
The LI NET program provides immediate prescription drug coverage for people in your situation. LI NET covers all Part D drugs and there are no network pharmacy restrictions during the time period you are covered by this program.
Note: LI NET does not cover drugs excluded from the Part D program.
How do I know if I’m eligible?
Eligibility requirements for the LI NET program include:
- Medicare and Part D eligibility
- Eligible for ”Extra Help,” including any of the following:
- Full-benefit dual-eligible beneficiaries: those with Medicare and full Medicaid benefits
- SSI-only beneficiaries: those with Medicare who receive Supplemental Security Income (SSI) but do not have Medicaid
- Partial-benefit dual-eligible beneficiaries: those with Medicare who qualify for Medicare Savings Programs (MSP) but not full Medicaid, i.e., QMB Only, SLMB Only and QI
- “Extra Help” applicants: those who have applied for, and have been awarded, “Extra Help” through SSA or their state
- Have no other prescription coverage, including:
- Part D plan coverage
- Retiree drug subsidy (RDS) plan
- VA coverage
- Not enrolled in a Part C plan, which does not allow concomitant enrollment in a Part D plan
- Not opted out of auto-enrollment
- Have a permanent address in the fifty States or DC
If I’m eligible, what do I do next?
- Be on the lookout for your welcome letter with important plan information from LI NET.
- If you have not received your welcome letter and need a prescription filled:
- Take your prescription and Medicare ID card to your pharmacy.
- Ask the pharmacist to submit your claim to LI NET using the following:
BIN:015599 PCN: 05440000
Note: If you have additional questions, call the LI NET help desk at 800-783-1307 (TTY: 711), Monday – Friday, 8 a.m. – 7 p.m., Eastern time.
- Submit a receipt. If you’ve already paid out-of-pocket for prescriptions during eligible LI NET periods, you can submit your receipt for reimbursem*nt.
Prescription Drug Claim Form for Member Reimbursem*nt—English, open PDF in new window
Prescription Drug Claim Form for Member Reimbursem*nt—Spanish, open PDF in new window
- Be on the lookout for your welcome letter with important plan information from LI NET.
- If you have not received your welcome letter and need a prescription filled:
- Take your prescription and Medicare ID card to your pharmacy.
- Ask the pharmacist to submit your claim to LI NET using the following:
BIN:015599 PCN: 05440000
Note: If you have additional questions, call the LI NET help desk at 800-783-1307 (TTY: 711), Monday – Friday, 8 a.m. – 7 p.m., Eastern time.
- Submit a receipt. If you’ve already paid out-of-pocket for prescriptions during eligible LI NET periods, you can submit your receipt for reimbursem*nt.
Prescription Drug Claim Form for Member Reimbursem*nt—English, open PDF in new window
Prescription Drug Claim Form for Member Reimbursem*nt—Spanish, open PDF in new window
Helpful LI NET resources for beneficiaries
2024 Evidence of Coverage—English, open PDF in new window
2024 Evidence of Coverage—Spanish, open PDF in new window
Prescription Drug Claim Form for Member Reimbursem*nt—English, open PDF in new window
Prescription Drug Claim Form for Member Reimbursem*nt—Spanish, open PDF in new window
LI NET medications list, open PDF in new window
LI NET enrollment form—English, open PDF in new window
LI NET enrollment form—Spanish, open PDF in new window
Appointment of Representative form—English, open PDF in new window
Appointment of Representative form—Spanish, open PDF in new window
LI NET Resources
- Beneficiaries
- Beneficiaries
LI NET help desk
For questions about the program, call the help desk at 800-783-1307 (TTY: 711), Monday – Friday, 8 a.m. – 7 p.m., Eastern time.
Centers for Medicare and Medicaid Services
To get the phone number for your State Medical Assistance (Medicaid) office, call 800-MEDICARE (800-633-4227) (TTY: 877-486-2048) 24 hours, 7 days a week, including some federal holidays. Or, visit
LI NET help desk
For questions about the program, call the help desk at 800-783-1307 (TTY: 711), Monday – Friday, 8 a.m. – 7 p.m., Eastern time.
Centers for Medicare and Medicaid Services
To get the phone number for your State Medical Assistance (Medicaid) office, call 800-MEDICARE (800-633-4227) (TTY: 877-486-2048) 24 hours, 7 days a week, including some federal holidays. Or, visit
