2017 Medicare Choice | LIS Premium Subsidy | Denver Health Medical Plan

2017 Medicare Choice | LIS Premium Subsidy

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Low Income Subsidy Premium Summary

Click here for the 2017 LIS Premium Subsidy in Spanish

Monthly Plan Premium for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs.

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. 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.

Your level of extra help Monthly Premium for Medicare Choice (HMO SNP) $31.30 Monthly Premium for Medicare Select (HMO) $31.30
100% $0.00 $0.00
75% $7.80 $7.80
50% $15.60 $15.60
25% $23.50 $23.50

*This does not include any Medicare Part B premium you may have to pay.

Denver Health Medical Plan, Inc. premium includes coverage for both medical services and prescription drug coverage.

If you aren’t getting extra help, you can see if you qualify by calling:

  • 1-800-Medicare of TTY/TDD users call 1-877-486-2048 (24 hours a day/7 days a week)
  • Your State Medicaid Office, or
  • 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 303-602-2111 or toll free 1-877-956-2111. TTY users should call 711. Our hours of operation are 8 a.m. – 8 p.m. seven days a week. Mountain time.

You must continue to pay your Medicare Part B premium.

The benefit information provided is a brief summary, not a complete description of benefits.  For more information, contact the plan.  Limitations, copayments, and restrictions may apply.  Benefits may change on January 1 of each year.

Denver Health Medical Plan, Inc is a Medicare-approved HMO plan and has a contract with the Colorado Medicaid Program.  Enrollment is a Denver Health Medical Plan depends on contract renewal.

This information is available for free in other languages.  Please contact our Member Services deparment at 303-602-2111 or toll free at 1-877-956-2111 for more information.  TTY users call 711.  Our hours of operation are 8 a.m.  - 8 p.m. seven days a week.

Este documento está disponible gratis en otros idiomas.  Por favor comuníquese con nuestro departamento de Servicios al Afiliado al 303-602-2111 o llame gratis al 1-877-956-2111, para obtener más información.  Los usuarios TTY favor de llamar al 711.  Estamos disponsibles de las 8 a.m. a las 8 p.m. los siete días de la semana.