Low Income Subsidy

2018 LIS Premium Summary Table

As a member of our Plan, you pay a monthly premium. If you qualify for extra help from Medicare, called the Low Income Subsidy, or LIS you may not have to pay for all or part of the monthly premium. The PrimeTime Health Plan premiums that are listed are for both medical and prescription coverage.

The premiums that are listed on this website do not reflect additional premiums you may have to pay as a member of Medicare. The Part B premium is in addition to the PrimeTime Health Plan premium that is listed. You may have to pay a late enrollment penalty (LEP) if you did not meet the requirements. Please refer to any of our Evidence of Coverage's to review this information in Chapter 6, Section 9.

There is also a Medicare Part A premium that may have to be paid. (Generally, most people do not have to pay this premium.)

The Low Income Subsidy Chart will tell you by plan what your premium will generally be if you qualify for extra help from Medicare.

To inquire with the Social Security Administration on the status or level of your LIS benefits, you may contact them calling 1-800-772-1213 (TTY users should call 1-800-325-0778).

Last updated: 10/01/2017