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

Best Available Evidence (BAE)

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.

These tables show you what your monthly plan premium will be if you get extra help.

2017 Low Income Subsidies
Your level of extra help Monthly Premium for
MedicareBlue Rx Standard*
Monthly Premium for
MedicareBlue Rx Premier*














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

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

  • 1-800-Medicare (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; or
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or
  • Your State Medicaid Office.

If you have any questions, please call Customer Service at 1-888-832-0075 (TTY hearing impaired users call 711), 8 a.m. to 8 p.m., daily, Central and Mountain Times.