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Low-income Subsidy
For more information on other local, state, and federal assistance programs, check out our Additional Resources.
If you get extra help from Medicare in paying for your Medicare prescription drug plan costs, your monthly plan premium will be lower than if you did not get that extra help. The amount of extra help you get will determine your total monthly plan premium as a member of our plan.
This table shows you what your monthly plan premium will be if you get extra help.
|
Keystone 65 plans
|
Premium without extra help
|
Your plan premium based on your income level of extra help*
|
|||
|---|---|---|---|---|---|
|
100%
|
75%
|
50%
|
25%
|
||
| Keystone 65 Value Rx | $23.90 | $0.00 | $5.83 | $11.65 | $17.48 |
| Keystone 65 Advantage Rx | $87.60 | $87.60 | $21.73 | $43.45 | $65.18 |
| Keystone 65 Preferred Rx | $125.40 | $125.40 | $31.23 | $62.45 | $93.68 |
|
Personal Choice 65 plan
|
Premium without extra help
|
Your plan premium based on your income level of extra help*
|
|||
|---|---|---|---|---|---|
|
100%
|
75%
|
50%
|
25%
|
||
| Personal Choice 65 Standard Rx | $259.40 | $259.40 | $64.73 | $129.45 | $194.17 |
|
Select Advantage plan |
Premium without extra help |
Your plan premium based on your income level of extra help* |
|||
|---|---|---|---|---|---|
|
100% |
75% |
50% |
25% |
||
| Select Advantage Silver Rx | $223.50 | $223.50 | $55.73 | $111.45 | $167.18 |
*This does not include any Medicare Part B premium you may have to pay.
Independence Blue Cross’s premium includes coverage for both medical services and prescription drug coverage.
If you aren’t getting extra help, you can learn whether you qualify by calling one of the following:
- 1-800-MEDICARE. TTY/TDD users call 1-877-486-2048 (24 hours a day/7 days a week);
- your State Medicaid Office;
- the Social Security Administration at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
If you have any questions, please call Member Services at 1-877-393-6733, (TTY/TDD: 1-877-219-5457) from 8 a.m. to 8 p.m. EST, seven days a week.
Best Available Evidence Policy
Early in 2006, a number of factors contributed to the problem of incorrect cost-sharing levels for full-benefit dual eligible's and other LIS eligible individuals. The purpose of this link is to provide a member with information on CMS best available data policy.
In certain cases, CMS systems do not reflect a beneficiary's correct low-income subsidy (LIS) status at a particular point in time. To address these situations, CMS created the best available evidence (BAE) policy. This policy requires Plans to establish the appropriate cost-sharing for low-income beneficiaries when presented with evidence that the beneficiary's information is not accurate.
Learn more about the Best Available Evidence Policy.