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Medicare · Wake County NC · 2026

Can I Get Extra Help with Medicare Drug Costs If I Own Rental Property in Wake County?

Real eligibility math. Real Wake County context. Answered by a licensed NC broker, not a chatbot.

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Direct Answer — Wake County, NC · 2026
Owning rental property does not automatically disqualify you from Extra Help (Low Income Subsidy). Your primary home is excluded from the resource calculation, but rental property equity counts. In 2026, the resource limit is $18,090 for an individual or $36,100 for a married couple. The income limit is $23,475 single or $31,725 married. If your rental equity plus other countable resources stay below the threshold, you can qualify. For your specific situation in Wake County, call Rob Simm at (828) 761-3326 — free, no obligation.
Who to Call in Wake County
The Part Medicare.gov Can't Answer

I run your actual prescription list against every plan in your ZIP. Medicare.gov’s Plan Finder prices the drugs you type in — it can’t flag the tier change that moves your medication from $15 to $180 next January.

NPN · #10447418
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Office · 2731 Meridian Pkwy, Durham NC 27713

What counts against you when SSA checks your resources?

These are the four questions Wake County property owners ask most about Extra Help eligibility.

01
Does my primary home count as a resource?
No. Your primary residence is completely excluded from the Extra Help resource calculation, regardless of its value. This is true even for high-value homes in Wake County.
02
How does SSA value my rental property?
SSA counts the equity: fair market value minus outstanding mortgage. A $150,000 rental with $100,000 owed = $50,000 in countable resources. That alone exceeds the $18,090 single limit.
03
Does rental income count separately from property equity?
Yes. Net rental income (after expenses) counts toward the income limit of $23,475/yr single. And the property equity counts toward the resource limit. Both must be under their respective thresholds.
04
What if I’m over the limit — are there other options?
Yes. The 2026 Part D out-of-pocket cap is $2,100/yr regardless of Extra Help status. Insulin is capped at $35/mo. And the right Part D plan can cut your drug costs dramatically even without LIS. Call Rob at (828) 761-3326.
⚠️ Rental property equity is the #1 reason Wake County applicants get denied

Most people who own a single rental property in Wake County have more than $18,090 in equity, which puts them over the resource limit for a single individual. But don’t assume — married couples have a $36,100 limit, and SSA counts equity (not market value). A rental with a large mortgage may still leave you under the threshold. Get the math done before you skip the application.

What happens when you figure this out alone vs. with a broker?

What do you need to know?Medicare.govRob Simm — NC #10447418
Extra Help eligibility checkGeneric screening tool — no rental property guidancePre-screen with your actual property values and income before you apply
Resource calculationLists what counts, but no help with your mathI calculate your countable resources and tell you exactly where you stand
What if you don’t qualify?Application denied — no next stepI run every Part D plan in Wake County against your prescriptions to find the lowest cost
Part D plan selectionPlan Finder tool — manual entry per drug, per planI pre-check every prescription on every eligible plan and show you the real annual cost
Wake County provider networksGeneric federal directoriesDirect verification with WakeMed, UNC REX, and Duke Raleigh contracts
Cost$0 (just your time and risk)$0 — paid by carrier, not you

What are the key Medicare numbers for Wake County in 2026?

$202.90
Part B premium per month
2026 standard rate. Higher with IRMAA surcharge based on income above $106,000.
$283
Part B annual deductible
You pay this before Medicare covers 80% of outpatient care.
$9,250
MA in-network out-of-pocket max
2026 cap on in-network Medicare Advantage spending.
$2,100
Part D out-of-pocket cap
No catastrophic Rx costs in 2026. Insulin capped at $35/month.
💡 Broker Tip — Wake County

If you own a rental property in Wake County and your equity is close to the resource limit, get your property appraised before applying. Wake County property values have risen sharply — but so have many mortgages from refinancing. The gap between value and debt is what SSA counts, and I see Wake County clients qualify who assumed they wouldn’t. Call (828) 761-3326 before you give up on Extra Help.

— Rob Simm, Licensed Medicare Broker, NC #10447418
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Rob Simm · Licensed NC Medicare Broker · NPN #10447418

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What does Extra Help actually save you on prescriptions?

Without Extra Help
$2,100/yr
You pay a Part D premium, a deductible, copays at every tier, and up to $2,100 out-of-pocket per year in 2026. A single brand-name medication can push you to the cap within months.
With Full Extra Help
$0–$134/yr
No premium. No deductible. Copays of $0 to $11.20 per prescription in 2026. On 12 prescriptions, your total annual drug cost drops from $2,100 to under $134.

Why doesn’t this cost me anything?

It doesn’t — because I get paid by the insurance carrier to manage your plan. Most call centers get paid more to steer your business toward certain carriers based on volume and contracts. The only thing I’m optimizing for is making sure you’re covered correctly when you actually need it. That’s what keeps people coming back. And referring their neighbors.

Which WakeMed facilities serve Wake County?

WakeMed is the health system on record for Wake County, and 3 facilities in the county carry its name — which does not mean they all sit on the same plan contracts.

  1. WakeMed Raleigh Campus
  2. WakeMed Cary Hospital
  3. WakeMed North Hospital

WAKEMED NETWORK NOTES

WakeMed went out-of-network with all UnitedHealthcare plans on 15 November 2025, commercial and Medicare Advantage alike, after the two sides could not agree on rates. WakeMed hospitals, outpatient clinics, 210 PET, urgent cares and physician specialists are all out of network. Verified .

The carve-out is the part people get wrong. WakeMed's primary care physicians and MyCare365 sit on a separate contract and did not go out-of-network — but physician specialists did. So a Wake County patient on a UnitedHealthcare Medicare Advantage plan can keep seeing their WakeMed primary care doctor in-network while every WakeMed hospital admission, ER visit, imaging appointment and specialist visit bills at out-of-network rates. Keeping your doctor is not the same as keeping your hospital, and the hospital is where the money is. Verified .

This is not isolated to Raleigh. UnitedHealthcare is reducing its Medicare Advantage footprint across 109 counties in 16 states for 2026. A UnitedHealthcare plan that worked in Wake County in 2025 is worth re-checking for 2026 whether or not you have heard from the carrier. Verified .

Frequently asked questions
Does rental property income count toward the Extra Help income limit?
Yes. Net rental income (after expenses) counts as unearned income for Extra Help eligibility. In 2026, the income limit is $23,475/yr for an individual or $31,725/yr for a couple. If your rental income plus other income stays below the threshold, you may still qualify.
What is the difference between the resource limit and the income limit for Extra Help?
The income limit counts annual earnings: wages, Social Security, pensions, and rental income. The resource limit counts what you own: savings, stocks, bonds, and rental property equity. Your primary home and one car are excluded from resources. In 2026, the resource limit is $18,090 single / $36,100 married.
Can I qualify for Extra Help if my rental property has a mortgage?
SSA counts the equity in your rental property — fair market value minus what you owe. If your rental property is worth $120,000 and you owe $95,000, only $25,000 in equity counts toward the $18,090 resource limit. That alone would put you over, but a licensed broker can help you understand the full picture. Call (828) 761-3326.
How do I apply for Extra Help in Wake County, NC?
Apply online at ssa.gov/medicare/part-d-extra-help, call Social Security at 1-800-772-1213, or visit the Raleigh Social Security office. You can also call Rob Simm at (828) 761-3326 for a free eligibility pre-screen before you apply.
What does Extra Help actually save me on Part D drug costs?
Full Extra Help eliminates the Part D premium, deductible, and reduces copays to $0–$11.20 per prescription in 2026. Even partial Extra Help significantly reduces your premium and copays. With the 2026 Part D out-of-pocket cap at $2,100/yr, Extra Help can mean the difference between $0 and $2,100 in annual drug costs.
Next Review: October 2026
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10 minutes. You'll know where you stand.
Rob Simm · Licensed NC Medicare Broker · NPN #10447418

Now pick how you want to move forward — your pace.

PLAN MATCH · 3 MINUTES
Let's start with you.

Prefer to just talk? (828) 761-3326

Licensed in North Carolina · Serving NC residents only
No pressure · No sales pitch · Your data never sold

Robert Simm, Licensed Health Insurance Broker

Licensed in North Carolina, Texas & Georgia·NPN 10447418·AHIP Certified for Plan Year 2027

12+ Years · 500+ Families Served · Your Data Never Shared

Robert Simm is the licensed insurance broker behind GenerationHealth (generationhealth.me), an independent brokerage serving Medicare, ACA Marketplace, and supplemental health coverage across North Carolina, Texas, and Georgia under NPN 10447418.

Rob works directly with every client — no call center, no lead handoff. Plan comparisons on this site are built from CMS Plan Benefit Package data compiled by GenerationHealth, not from carrier marketing material.

Phone(828) 761-3326

Text828-761-3326

Emailrobert@generationhealth.me

Office2731 Meridian Pkwy, Durham, NC 27713

GenerationHealth is not connected with or endorsed by the United States government or the federal Medicare program. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE, 24 hours a day / 7 days a week, or consult www.medicare.gov to get information on all of your options.