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. MEDICARE CARVE OUT (MC) PLAN  MALE             Low Income Premium Program Male Medicare Carveout Federal Poverty Income Range: Attained Age $500 Plan 0% to 199%  200% to 399%      75% Premium Reduction 50% Premium Reduction         0 - 18 $81 $20 $41 19 $108 $27 $54 20 $108 $27 $54 21 $108 $27 $54 22 $108 $27 $54 23 $108 $27 $54 24 $108 $27 $54 25 $112 $28 $56 26 $116 $29 $58 27 $121 $30 $61 28 $124 $31 $62 29 $128 $32 $64 30 $131 $33 $66 31 $135 $34 $68 32 $139 $35 $70 33 $144 $36 $72 34 $150 $38 $75 35 $155 $39 $78 36 $161 $40 $81 37 $167 $42 $84 38 $172 $43 $86 39 $178 $45 $89 40 $184 $46 $92 41 $190 $48 $95 42 $197 $49 $99 43 $203 $51 $102 44 $209 $52 $105 45 $216 $54 $108 46 $223 $56 $112 47 $230 $58 $115 48 $237 $59 $119 49 $245 $61 $123 50 $252 $63 $126 51 $260 $65 $130 52 $268 $67 $134 53 $275 $69 $138 54 $282 $71 $141 55 $290 $73 $145 56 $297 $74 $149 57 $305 $76 $153 58 $307 $77 $154 59 $309 $77 $155 60 $311 $78 $156 61 $314 $79 $157 62 $316 $79 $158 63 $326 $82 $163 64 $336 $84 $168

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