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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 All
Inter Valley Health Plans* 2011 |
|---|
| 100% | $0 for all plan levels |
|---|
| 75% | $0 for all plan levels |
|---|
| 50% | $0 for all plan levels |
|---|
| 25% | $0 for all plan levels |
|---|
Your level of
Extra Help | Monthly Premium for All
Inter Valley Health Plans* 2012 |
|---|
| 100% | $0 for all plan levels |
|---|
| 75% | $0 for all plan levels |
|---|
| 50% | $0 for all plan levels |
|---|
| 25% | $0 for all plan levels |
|---|
*This does not include any Medicare Part B premium you have to pay.
If you aren’t getting extra help, you can see if you qualify by calling:
- 1-800-Medicare or TTY/TDD users call 1-877-2048 (24 hours a day/7 days a week).
- Your State Medicare 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 Inter Valley Health Plan Member Services at 1-800-751-8191 or TTY/TDD users call 800-505-7150, 7:30 a.m. to 8 p.m., 7 days a week.
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