Important Links Eligibility HIPAA Eligibility Medical Conditions Summary of Benefits Plan Designs Monthly Premiums Qualifying Rates Premium Assistance Medicare Carve-Out Application/Forms Important Notices

Monthly Premiums:  Regular Plan Medicare Carve Out Low Income Premium Program Female Male Female Male 50% Reduction Male 50% Reduction Female 75% Reduction Male 75% Reduction Female All rates effective July 1, 2008 through December 31, 2008. REGULAR PLAN LOW INCOME PREMIUM PROGRAM (LIPP) FEMALE 75% PREMIUM REDUCTION (Federal Poverty Income Range 0% to 199%)                         Female 500 1000 2000 5000 7500 10000 Attained Age Plan Plan Plan Plan Plan Plan                0 - 18 $33 $29 $25 $19 $17 $15 19 $51 $46 $38 $30 $27 $24 20 $51 $46 $38 $30 $27 $24 21 $51 $46 $38 $30 $27 $24 22 $51 $46 $38 $30 $27 $24 23 $51 $46 $39 $30 $27 $24 24 $51 $46 $39 $30 $27 $24 25 $53 $48 $40 $32 $28 $25 26 $56 $50 $42 $33 $29 $26 27 $58 $52 $44 $34 $31 $27 28 $60 $53 $45 $36 $32 $28 29 $62 $55 $46 $37 $32 $28 30 $63 $56 $48 $38 $33 $30 31 $65 $58 $49 $39 $34 $31 32 $67 $60 $50 $39 $35 $32 33 $69 $62 $52 $41 $37 $33 34 $72 $64 $55 $43 $38 $34 35 $75 $67 $56 $44 $39 $35 36 $78 $69 $58 $46 $40 $37 37 $80 $72 $61 $48 $43 $38 38 $83 $74 $63 $49 $44 $39 39 $86 $76 $64 $51 $45 $40 40 $88 $79 $67 $52 $46 $42 41 $92 $82 $69 $55 $49 $43 42 $94 $85 $72 $56 $50 $45 43 $98 $87 $74 $58 $51 $46 44 $101 $90 $76 $60 $53 $48 45 $104 $93 $79 $62 $55 $49 46 $108 $96 $81 $64 $57 $51 47 $111 $99 $84 $66 $58 $52 48 $113 $101 $85 $67 $60 $53 49 $115 $102 $86 $68 $60 $54 50 $116 $104 $88 $69 $61 $55 51 $118