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2014 Low-Income Subsidy (LIS) Premiums

Your premium will generally be lower if you qualify for Medicare’s Extra Help program (also known as Low-Income Subsidy or LIS). To learn more about the Extra Help/LIS, call 800-MEDICARE (800-633-4227). TTY users should call 877-486-2048. You can call these numbers for free, 24 hours a day, 7 days a week.

MyPlan name If your LIS premium subsidy is Then your monthly premium is*
MyPlan C
100%
$0
MyPlan A
100%
$46.00
75%
$54.50
50%
$63.00
25%
$71.50
MyPlan E
100%
$108.20
75%
$116.90
50%
$125.60
25%
$134.30
MyPlan S + Rx
100%
$25.00
75%
$33.50
50%
$42.00
25%
$50.50

 

*This premium includes coverage for both medical benefits (such as doctors visits) and Medicare Part D prescription drugs. However, you will still need to pay any Medicare Part B premium you may owe.

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10/29/2013
H3818_WEB_00352v2 CMS Approved