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) MALE 50% PREMIUM REDUCTION (Federal Poverty Income Range 200% to 399%)                Male 500 1000 2000 5000 7500 10000 Attained Age Plan Plan Plan Plan Plan Plan                0 - 18 $65 $58 $49 $39 $34 $31 19 $87 $78 $66 $52 $46 $41 20 $87 $78 $66 $52 $46 $41 21 $87 $78 $66 $52 $46 $41 22 $87 $78 $66 $52 $46 $41 23 $87 $78 $66 $52 $46 $41 24 $87 $78 $66 $52 $46 $41 25 $90 $81 $68 $54 $48 $43 26 $94 $84 $71 $56 $50 $44 27 $98 $87 $74 $58 $51 $46 28 $100 $90 $76 $60 $53 $48 29 $103 $92 $78 $61 $55 $49 30 $106 $95 $80 $63 $56 $50 31 $109 $98 $82 $65 $58 $52 32 $113 $100 $85 $67 $59 $53 33 $117 $104 $88 $69 $62 $55 34 $121 $108 $91 $72 $64 $57 35 $125 $112 $95 $75 $66 $59 36 $130 $116 $98 $77 $69 $62 37 $135 $120 $102 $80 $71 $64 38 $139 $124 $105 $83 $73 $66 39 $144 $128 $109 $86 $76 $68 40 $149 $133 $112 $88 $78 $70 41 $154 $137 $116 $91 $81 $73 42 $159 $142 $120 $95 $84 $75 43 $164 $146 $124 $98 $87 $78 44 $169 $151 $128 $101 $89 $80 45 $175 $156 $132 $104 $92 $83 46 $180 $161 $136 $107 $95 $85 47 $186 $166 $140 $111 $98 $88 48 $192 $171 $145 $114 $101 $91 49 $198 $176 $149 $118 $104 $94 50 $204 $182 $154 $121