Medicare
Has a Medicare eligibility path.
You don't have insurance
500% of the federal poverty level
In 2026 dollars, that means your household income needs to be at or below:
| People in your household |
Annual income |
| 1 |
$79,800 |
| 2 |
$108,200 |
| 3 |
$136,600 |
| 4 |
$165,000 |
| 5+ |
$193,400 |
Worked out from the 2026 federal poverty guidelines (48 contiguous states and DC); Alaska and Hawaii use higher figures. The program makes the decision, not us.
Lilly Cares sets its income limit by medication group, not one threshold. Group 1 medicines are at or below 300% of the federal poverty level: $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4. Group 2 medicines are at or below 400%: $63,840 / $86,560 / $109,280 / $132,000. Group 3 and Group 4 medicines are at or below 500%: $79,800 / $108,200 / $136,600 / $165,000. Figures reflect 2026 federal poverty guidelines. If you live in Alaska or Hawaii, or your household is larger than four people, call 1-800-545-6962 for the adjusted limits.
- Must not be enrolled in Medicaid or full VA benefits.
- Must not be directed to the program by an employer/plan as a condition of coverage (anti-alternative-funding clause).
You have Medicare Part D
500% of the federal poverty level
In 2026 dollars, that means your household income needs to be at or below:
| People in your household |
Annual income |
| 1 |
$79,800 |
| 2 |
$108,200 |
| 3 |
$136,600 |
| 4 |
$165,000 |
| 5+ |
$193,400 |
Worked out from the 2026 federal poverty guidelines (48 contiguous states and DC); Alaska and Hawaii use higher figures. The program makes the decision, not us.
Lilly Cares sets its income limit by medication group, not one threshold. Group 1 medicines are at or below 300% of the federal poverty level: $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4. Group 2 medicines are at or below 400%: $63,840 / $86,560 / $109,280 / $132,000. Group 3 and Group 4 medicines are at or below 500%: $79,800 / $108,200 / $136,600 / $165,000. Figures reflect 2026 federal poverty guidelines. If you live in Alaska or Hawaii, or your household is larger than four people, call 1-800-545-6962 for the adjusted limits.
- Applies to Groups 1 & 2 directly (Part D covers those); Groups 3 & 4 (often infused, not applicable to Part D) instead route via the Medicare Part B track.
- Must not be enrolled in full Extra Help/Low-Income Subsidy (LIS).
- Enrollment expires at the end of the calendar year regardless of start date (not a rolling 12 months like other tracks).
You have Medicare Part B and no other insurance
500% of the federal poverty level
In 2026 dollars, that means your household income needs to be at or below:
| People in your household |
Annual income |
| 1 |
$79,800 |
| 2 |
$108,200 |
| 3 |
$136,600 |
| 4 |
$165,000 |
| 5+ |
$193,400 |
Worked out from the 2026 federal poverty guidelines (48 contiguous states and DC); Alaska and Hawaii use higher figures. The program makes the decision, not us.
Lilly Cares sets its income limit by medication group, not one threshold. Group 1 medicines are at or below 300% of the federal poverty level: $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4. Group 2 medicines are at or below 400%: $63,840 / $86,560 / $109,280 / $132,000. Group 3 and Group 4 medicines are at or below 500%: $79,800 / $108,200 / $136,600 / $165,000. Figures reflect 2026 federal poverty guidelines. If you live in Alaska or Hawaii, or your household is larger than four people, call 1-800-545-6962 for the adjusted limits.
- Applies to Groups 3 & 4 (infused medications not applicable to Part D).
- Must have no supplemental/secondary insurance covering the drug.
- Must not be enrolled in full Extra Help/LIS.
Income limit
500% of the federal poverty level
