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Low Income Subsidy

Extra Help with Your Premium Payments

Not everyone knows that there is extra help available from Medicare to help cover Part D costs for those with limited income and resources.

If you qualify for extra help from Medicare, your Part D premium will be reduced 25 to 100 percent. The tables below show the reduced premium amounts.

Minnesota Plans

Prime Solution

The amounts below include the medical premium for Prime Solution and the Part D premium.

Enhanced

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$157.70
$166.70
$175.60
$184.60
With Rx2
$168.50
$177.10
$185.70
$194.40

Basic

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$79.00
$87.20
$95.30
$103.50
With Rx2
$92.90
$101.10
$109.40
$117.60

Value

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$67.00
$74.60
$82.10
$89.70

Thrift

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$49.00
$57.00
$64.90
$72.90

Advantage Solution

The amounts below include the medical premium for Advantage Solution and the Part D premium.

Level of Extra Help*
Plan Options
100%
75%
50%
25%
H6154-001
(HMO–POS)
$2.00
$8.10
$14.20
$20.30
H6154-002
(HMO–POS)
$43.80
$50.00
$56.20
$62.50
H8889-001 (PPO)
$68.60
$76.10
$83.50
$91.00
H8889-002 (PPO)
$93.30
$100.90
$108.60
$116.20
H8889-003 (PPO)
$158.70
$167.70
$176.60
$185.60
H8889-004 (PPO)
$81.70
$89.00
$96.40
$103.70

North Dakota and South Dakota Plans

Prime Solution

The amounts below include the medical premium for Prime Solution and the Part D premium.

Premier

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$193.70
$202.70
$211.60
$220.60

Core

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$79.90
$88.90
$97.80
$106.80

Thrift

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$49.00
$57.00
$64.90
$72.90

Wisconsin Plans

Prime Solution

The amounts below include the medical premium for Prime Solution and the Part D premium.

Total

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$179.00
$188.20
$197.50
$206.70

Focus

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$89.00
$97.10
$105.30
$113.40

Thrift

Level of Extra Help*
Plan Options
100%
75%
50%
25%
With Rx
$49.00
$57.00
$64.90
$72.90
Best Available Evidence (BAE) Policy

If you believe you are eligible for the Low-Income Subsidy, but your current information does not reflect that eligibility, please use the resources on the following website to correct your status.
Visit the Centers for Medicare and Medicaid Services website

Mountain Biker

Need Help?

1-877-704-7864 
(TTY: 711)
Get More Info

Are You Covered?

Every plan is different, find the right plan for you. Quickly search our resources to see if a plan includes your doctor and drugs. 

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*Based on income and resource levels set by the Centers for Medicare and Medicaid Services premiums may vary based on the level of Extra Help you receive. Please contact Medica for further details.

Medica is a Cost, HMO-POS and PPO plan with a Medicare contract. Enrollment in Medica depends on contract renewal.

This information is not a complete description of benefits. Call Medica at 1-877-704-7864 (TTY: 711) for more information.

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Last Updated: October 2018