Medicare
Low-Income Subsidy Chart
Your Level of Extra Help | Monthly Premium for CHP Advantage Plus* | Monthly Premium for CHP Preferred Advantage* |
100% | $3.70 | $65.70 |
75% | $11.30 | $73.30 |
50% | $18.90 | $80.90 |
25% | $26.40 | $88.40 |
Wound Treatment Centers MCR
Submitted by smg_admin on Wed, 12/06/2017 - 14:07
Thoracic Outlet Syndrome MCR
Submitted by smg_admin on Wed, 12/06/2017 - 14:06
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Skilled Nursing Facilities MCR
Submitted by smg_admin on Wed, 12/06/2017 - 14:04
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Long Term Acute Care Hospitalization MCR
Submitted by smg_admin on Wed, 12/06/2017 - 14:03
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Implantable Hearing Devices MCR
Submitted by smg_admin on Wed, 12/06/2017 - 14:03
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Submitted by smg_admin on Wed, 12/06/2017 - 09:37
Determinations, Grievances & Appeals
- Medical Care & Services
- Prescription Drug Coverage
- Request for Medicare Prescription Drug Coverage Redetermination
- Download the Request for Medicare Prescription Drug Coverage Determination Form to request an exception.
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