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PPO Low Income Subsidy Premium Summary

Table for Those Receiving Extra Help

 Product Description

 2008 Total Premium
Medicare PPO Plan 1 (No Extra Help)

 $49.00
   
Medicare PPO Plan 2 with Rx

 $87.00
Medicare PPO Plan 2 with Rx LIS 1

 $62.60
Medicare PPO Plan 2 with Rx LIS 2 

 $62.60

Medicare PPO Plan 2 with Rx LIS 3_25% subsidy

 $82.20
Medicare PPO Plan 2 with Rx LIS 3_50% subsidy 

 $77.40
Medicare PPO Plan 2 with Rx LIS 3_75% subsidy

 $72.50

Medicare PPO Plan 2 with Rx LIS 1_100% subsidy 

 $67.70

Medicare PPO Plan 2 with Rx LIS 4 

 $62.60
   
Plan 3 with Rx

 $98.00
Medicare PPO Plan 3 with Rx LIS 1 

 $72.50
Medicare PPO Plan 3 with Rx LIS 2

$72.50
Medicare PPO Plan 3 with Rx LIS 3_25% subsidy

$93.20
Medicare PPO Plan 3 with Rx LIS 3_50% subsidy

$88.40
Medicare PPO Plan 3 with Rx LIS 3_75% subsidy

$83.50
Medicare PPO Plan 3 with Rx LIS 3_100% subsidy

$78.70

Medicare PPO Plan 3 with Rx LIS 4

$72.50
  • Your premium will generally be lower once you receive extra help from Medicare.
  • The premiums listed above do not include any Part B premium.
  • The premiums listed above for Plan 2 with Rx and Plan 3 with Rx are for both medical services and prescription drug benefits.
  • The premiums listed above for Plan 1 are for just medical and do not include prescription benefits.