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2017 Low-Income Subsidy Benchmark Premium Amounts (includes 2017 - 2006 for comparison)

 

Published on 2016-07-30 13:37:45

 

 

The Centers for Medicare and Medicaid Services (CMS) released the 2017 low-income premium subsidy amounts (or Benchmark) for Medicare Part D plans on July 29, 2016. In 2017, ten (10) states will lower their Medicare Part D Low-Income Subsidy benchmark values and forty-one (41) states will increase their benchmark premiums. As examples:

  • Alaska will see the largest benchmarkdecreasewith the 2017 LIS subsidy being$34.06as compared to$36.36in 2016. Arkansas had the largest benchmark decrease last year.
  • California will have the largest benchmark increase with a 2017 LIS subsidy amount of$36.28as compared to$31.05in 2016. Alaska had the largest benchmark increase last year.
  • New York will have the highest 2017 benchmark premium of all CMS PDP regions at$40.99. Followed closely by New Jersey at$40.81. Last year,New Jersey, had the highest benchmark premium at $39.74.
  • Arkansas will have the lowest benchmark in 2017 at$22.58.

As a reminder, the benchmark is the maximum monthly premium that will be paid by CMS for persons qualifying for "Extra Help." If a person receiving thelow-income subsidy (LIS)enrolls in a Medicare Part D plan that has a premium higher than the subsidy amount listed below for their state, the beneficiary is responsible for paying the difference in premium*.

 

You can click on the premium subsidy for your state to see the plans for the selected year qualifying for the $0 premium (2017 plan information available starting October 1, 2016).

 

Region

State(s)

2017

Subsidy

2016

Subsidy

2015

Subsidy

2014

Subsidy

2013

Subsidy

2012

Subsidy

2011

Subsidy

2010

Subsidy

2009

Subsidy

2008

Subsidy

2007

Subsidy

2006

Subsidy

1

NH, ME

$32.99

$32.82

$29.60

$27.78

$33.49

$31.18

$28.90

$26.96

$28.12

$30.64

$30.72

$36.09

2

CT, MA, RI, VT

$34.83

$31.14

$29.65

$27.99

$31.35

$32.04

$33.66

$34.57

$31.74

$29.17

$27.35

$30.27

3

NY

$40.99

$39.73

$36.94

$37.23

$43.22

$39.79

$38.69

$33.32

$27.71

$24.18

$24.45

$29.83

4

NJ

$40.81

$39.98

$37.64

$37.10

$37.04

$36.00

$35.74

$35.01

$30.99

$31.23

$28.12

$31.37

5

DE, DC, MD

$33.22

$33.45

$30.61

$32.34

$34.96

$34.57

$34.28

$33.71

$30.85

$30.78

$29.65

$33.46

6

PA, WV

$39.45

$35.30

$33.91

$35.50

$36.57

$34.32

$34.07

$32.09

$29.23

$26.59

$28.45

$32.59

7

VA

$32.52

$32.78

$29.47

$29.34

$30.06

$30.95

$33.25

$34.15

$31.72

$31.03

$30.52

$34.42

8

NC

$31.37

$31.07

$29.34

$28.28

$32.04

$33.00

$34.87

$34.90

$33.45

$33.43

$32.13

$36.30

9

SC

$26.03

$26.57

$28.78

$33.87

$38.75

$36.15

$36.90

$35.02

$32.01

$31.12

$31.41

$34.88

10

GA

$26.43

$25.78

$26.47

$29.32

$34.22

$31.18

$32.83

$29.62

$29.16

$30.04

$31.07

$33.15

11

FL

$29.13

$28.07

$25.83

$22.13

$24.76

$23.82

$25.41

$27.45

$21.47

$19.16

$22.63

$29.07

12

AL, TN

$31.76

$31.32

$30.20

$29.67

$33.69

$31.71

$33.72

$30.73

$29.80

$28.29

$29.60

$32.33

13

MI

$34.17

$33.47

$31.46

$32.46

$34.18

$34.37

$34.71

$34.92

$32.08

$30.49

$30.79

$33.22

14

OH

$32.30

$29.52

$28.64

$28.93

$29.87

$29.41

$29.67

$30.47

$28.40

$26.82

$28.51

$30.69

15

IN, KY

$32.06

$31.90

$31.79

$34.95

$37.22

$35.92

$36.44

$35.75

$33.95

$33.50

$32.42

$35.69

16

WI

$40.09

$37.70

$35.32

$37.03

$38.25

$36.67

$36.96

$38.20

$38.15

$31.03

$29.67

$31.27

17

IL

$28.68

$29.60

$28.23

$28.59

$30.94

$30.23

$30.65

$31.59

$30.18

$30.26

$29.66

$31.60

18

MO

$30.07

$26.13

$28.28

$31.21

$34.59

$32.05

$34.92

$40.01

$31.89

$26.71

$27.88

$31.37

19

AR

$22.58

$20.92

$24.76

$30.03

$34.15

$31.62

$32.12

$28.48

$26.89

$27.69

$30.51

$35.45

20

MS

$26.53

$28.14

$29.33

$30.56

$34.56

$33.40

$33.01

$33.02

$31.53

$31.35

$31.70

$36.39

21

LA

$32.80

$32.13

$31.28

$31.75

$37.33

$35.01

$34.75

$31.32

$27.48

$24.62

$28.45

$34.14

22

TX

$27.34

$28.05

$27.31

$27.73

$31.83

$29.99

$30.48

$27.53

$25.36

$25.01

$26.93

$31.68

23

OK

$30.83

$30.72

$29.97

$30.18

$32.80

$31.53

$33.62

$32.31

$29.36

$28.04

$30.35

$35.13

24

KS

$30.27

$30.67

$30.32

$34.21

$36.04

$36.67

$36.94

$35.77

$33.66

$30.62

$30.56

$33.44

25

IA, MN, MT, ND, NE, SD, WY

$34.02

$30.93

$30.00

$32.23

$34.61

$36.02

$37.47

$37.55

$33.19

$30.61

$29.50

$33.11

26

NM

$22.84

$20.72

$21.19

$19.92

$22.54

$21.27

$22.62

$21.42

$20.55

$19.28

$22.72

$25.95

27

CO

$32.04

$29.89

$28.93

$26.90

$31.92

$32.38

$32.85

$30.99

$30.17

$24.59

$27.37

$28.92

28

AZ

$35.11

$33.17

$32.89

$27.49

$29.41

$26.84

$27.34

$24.75

$16.22

$15.92

$21.37

$24.62

29

NV

$27.09

$25.38

$24.25

$22.78

$20.35

$22.97

$30.06

$27.31

$20.20**

$16.64

$20.56

$23.46

30

OR, WA

$34.83

$33.80

$33.81

$34.82

$37.46

$36.45

$35.30

$35.60

$31.76

$30.19

$28.71

$30.60

31

ID, UT

$39.66

$39.51

$39.74

$39.02

$42.15

$40.86

$40.68

$40.89

$37.46

$33.53

$31.77

$33.62

32

CA

$36.28

$31.05

$28.84

$28.10

$29.88

$30.86

$32.35

$28.99

$24.86

$19.80

$21.03

$23.25

33

HI

$26.52

$26.23

$27.91

$25.69

$33.33

$30.41

$29.76

$25.55

$25.01

$24.32

$26.35

$27.44

34

AK

$34.06

$36.36

$32.86

$37.07

$34.71

$36.46

$36.89

$38.00

$36.00

$36.42

$33.56

$34.66

 

*Note: Under the CMS de minimis premium policy, Part D plans are required to charge full-premium subsidy eligible beneficiaries a monthly Part D beneficiary premium equal to the applicable low-income premium subsidy amount, if the plan’s beneficiary premium for basic prescription drug coverage exceeds the low-income premium subsidy amount by $2 or less. See:https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovContra/Downloads/MemoDeMinimisClarification_102706.pdf

 

**Note: The 2009 low-income benchmark premium amount calculated for region 29 is $19.68. The low-income premium subsidy amount of $20.20 is the lowest monthly beneficiary premium for a PDP that offers basic coverage in region 29. Section 1860D-14(b)(3) of the Social Security Act states that the low-income premium subsidy amount is the greater of the lowest monthly beneficiary premium for a PDP that offers basic coverage and the low-income benchmark premium amount.


Greenhaven Insurance Agency can help answer any Medicare questions for all Sacramento and California residents, contact us at 916-836-8484.

source:
https://q1medicare.com/q1group/MedicareAdvantagePartD/Blog.php?blog=2017-Low-Income-Subsidy-Benchmark-Premium-Amounts--includes-2017---2006-for-comparison--&blog_id=580&frompage=8
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