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:    Click on one of the plan designs and you will be redirected to the premiums associated with that plan.  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. Male 500 1000 2000 5000 7500 10000 Attained Age Plan Plan Plan Plan Plan Plan                0 - 18 $130 $116 $98 $77 $68 $61 19 $174 $155 $131 $103 $91 $82 20 $174 $155 $131 $103 $91 $82 21 $174 $155 $131 $103 $91 $82 22 $174 $155 $131 $103 $91 $82 23 $174 $155 $131 $103 $91 $82 24 $174 $155 $131 $103 $91 $82 25 $180 $161 $136 $107 $95 $85 26 $187 $167 $141 $111 $99 $88 27 $195 $174 $147 $116 $102 $92 28 $200 $179 $151 $119 $106 $95 29 $206 $184 $155 $122 $109 $97 30 $212 $189 $160 $126 $112 $100 31 $218 $195 $164 $130 $115 $103 32 $225 $200 $169 $133 $118 $106 33 $233 $208 $175 $138 $123 $110 34 $241 $215 $182 $143 $127 $114 35 $250 $223 $189 $149 $132 $118 36 $260 $232 $196 $154 $137 $123 37 $269 $240 $203 $160 $142 $127 38 $278 $248 $210 $165 $146 $131 39 $288 $256 $217 $171 $151 $136 40 $297 $265 $224 $176 $156 $140 41 $307 $274 $232 $182 $162 $145 42 $317 $283 $239 $189 $167 $150 43 $328 $292 $247 $195 $173 $155 44 $338 $302 $255 $201 $178 $160 45 $349 $311 $263 $207 $184 $165 46 $360 $321 $271 $214 $190 $170 47 $372 $331