2025 Low-Income Subsidy Chart

Your Level of Extra Help Monthly Premium for CHP Silver Advantage* Monthly Premium for CHP Advantage Plus* Monthly Premium for CHP Preferred Advantage*
100%
$0
$20.50
$65.70

*This does not include any Medicare Part B premiums you may have to pay. CHP Advantage Plus and CHP Preferred Advantage premiums include coverage for both medical and prescription drug coverage.

If you aren’t currently getting Extra Help, you can see if you qualify by calling:

  • 1 (800) MEDICARE (633-4227). TTY users can call 1 (877) 486-2048. Both lines are open 24 hours a day, 7 days a week.
  • Your state Medicaid office
  • The Social Security Administration at 1 (800) 772-1213. TTY users can call 1 (800) 325-0778 from 7:00 a.m. to 7:00 p.m., Monday through Friday.

If you have questions, please call Member Services.

Capital Health Plan Silver Advantage (HMO), Advantage Plus (HMO), Preferred Advantage (HMO), and Retiree Advantage (HMO) are HMO plans with a Medicare contract. Enrollment in Capital Health Plan Silver Advantage, Advantage Plus, Preferred Advantage, and Retiree Advantage depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

If you have questions, please call Member Services at (850) 523-7441 or 1 (877) 247-6512 8:00 a.m. – 8:00 p.m., seven days a week, October 1 – March 31; 8:00 a.m. – 8:00 p.m., Monday – Friday, April 1 – September 30. State of Florida members call 1 (877) 392-1532, 7:00 a.m. – 7:00 p.m. TTY/TTD (850) 383-3534 or 1 (877) 870-8943.