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Low-Income Subsidy Premium Charts

Who is this for?

Find important Medicare documents here.

If you qualify for extra help paying for prescription drug coverage, you can use these charts to find out what you'll pay each month for our plans.

If you're struggling financially, you might qualify for a Low-Income Subsidy to help pay for your Medicare Part D prescription drug coverage. This is sometimes called Extra Help.

The charts below show what you'll pay each month depending on the plan you have and the level of Extra Help you get.

To read these charts, you'll need to know your plan name and what percentage of the Low-Income Subsidy you get: 100 percent, 75 percent, 50 percent or 25 percent.

Find out more about the Low-Income Subsidy and how you can get help paying for Medicare in our Help Center.

Select your plan year below to see your chart.