THURSDAY, MARCH 23, 2017
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2017 Low-Income Subsidy Benchmark Premium Amounts (includes 2017 - 2006 for comparison)
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Published on 2016-07-30 13:37:45
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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).
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Region
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State(s)
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2017
Subsidy
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2016
Subsidy
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2015
Subsidy
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2014
Subsidy
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2013
Subsidy
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2012
Subsidy
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2011
Subsidy
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2010
Subsidy
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2009
Subsidy
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2008
Subsidy
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2007
Subsidy
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2006
Subsidy
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1
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NH, ME
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$32.99
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$32.82
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$29.60
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$27.78
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$33.49
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$31.18
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$28.90
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$26.96
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$28.12
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$30.64
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$30.72
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$36.09
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2
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CT, MA, RI, VT
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$34.83
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$31.14
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$29.65
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$27.99
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$31.35
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$32.04
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$33.66
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$34.57
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$31.74
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$29.17
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$27.35
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$30.27
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3
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NY
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$40.99
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$39.73
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$36.94
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$37.23
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$43.22
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$39.79
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$38.69
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$33.32
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$27.71
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$24.18
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$24.45
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$29.83
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4
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NJ
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$40.81
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$39.98
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$37.64
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$37.10
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$37.04
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$36.00
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$35.74
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$35.01
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$30.99
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$31.23
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$28.12
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$31.37
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5
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DE, DC, MD
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$33.22
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$33.45
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$30.61
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$32.34
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$34.96
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$34.57
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$34.28
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$33.71
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$30.85
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$30.78
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$29.65
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$33.46
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6
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PA, WV
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$39.45
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$35.30
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$33.91
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$35.50
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$36.57
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$34.32
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$34.07
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$32.09
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$29.23
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$26.59
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$28.45
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$32.59
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7
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VA
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$32.52
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$32.78
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$29.47
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$29.34
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$30.06
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$30.95
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$33.25
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$34.15
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$31.72
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$31.03
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$30.52
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$34.42
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8
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NC
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$31.37
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$31.07
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$29.34
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$28.28
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$32.04
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$33.00
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$34.87
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$34.90
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$33.45
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$33.43
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$32.13
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$36.30
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9
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SC
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$26.03
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$26.57
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$28.78
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$33.87
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$38.75
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$36.15
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$36.90
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$35.02
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$32.01
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$31.12
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$31.41
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$34.88
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10
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GA
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$26.43
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$25.78
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$26.47
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$29.32
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$34.22
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$31.18
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$32.83
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$29.62
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$29.16
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$30.04
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$31.07
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$33.15
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11
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FL
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$29.13
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$28.07
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$25.83
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$22.13
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$24.76
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$23.82
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$25.41
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$27.45
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$21.47
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$19.16
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$22.63
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$29.07
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12
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AL, TN
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$31.76
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$31.32
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$30.20
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$29.67
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$33.69
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$31.71
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$33.72
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$30.73
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$29.80
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$28.29
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$29.60
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$32.33
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13
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MI
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$34.17
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$33.47
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$31.46
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$32.46
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$34.18
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$34.37
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$34.71
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$34.92
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$32.08
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$30.49
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$30.79
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$33.22
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14
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OH
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$32.30
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$29.52
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$28.64
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$28.93
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$29.87
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$29.41
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$29.67
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$30.47
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$28.40
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$26.82
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$28.51
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$30.69
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15
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IN, KY
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$32.06
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$31.90
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$31.79
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$34.95
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$37.22
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$35.92
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$36.44
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$35.75
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$33.95
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$33.50
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$32.42
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$35.69
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16
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WI
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$40.09
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$37.70
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$35.32
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$37.03
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$38.25
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$36.67
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$36.96
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$38.20
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$38.15
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$31.03
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$29.67
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$31.27
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17
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IL
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$28.68
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$29.60
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$28.23
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$28.59
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$30.94
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$30.23
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$30.65
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$31.59
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$30.18
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$30.26
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$29.66
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$31.60
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18
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MO
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$30.07
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$26.13
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$28.28
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$31.21
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$34.59
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$32.05
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$34.92
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$40.01
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$31.89
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$26.71
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$27.88
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$31.37
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19
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AR
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$22.58
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$20.92
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$24.76
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$30.03
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$34.15
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$31.62
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$32.12
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$28.48
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$26.89
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$27.69
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$30.51
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$35.45
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20
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MS
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$26.53
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$28.14
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$29.33
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$30.56
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$34.56
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$33.40
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$33.01
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$33.02
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$31.53
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$31.35
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$31.70
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$36.39
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21
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LA
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$32.80
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$32.13
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$31.28
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$31.75
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$37.33
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$35.01
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$34.75
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$31.32
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$27.48
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$24.62
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$28.45
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$34.14
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22
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TX
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$27.34
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$28.05
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$27.31
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$27.73
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$31.83
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$29.99
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$30.48
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$27.53
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$25.36
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$25.01
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$26.93
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$31.68
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23
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OK
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$30.83
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$30.72
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$29.97
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$30.18
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$32.80
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$31.53
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$33.62
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$32.31
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$29.36
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$28.04
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$30.35
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$35.13
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24
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KS
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$30.27
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$30.67
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$30.32
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$34.21
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$36.04
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$36.67
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$36.94
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$35.77
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$33.66
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$30.62
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$30.56
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$33.44
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25
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IA, MN, MT, ND, NE, SD, WY
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$34.02
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$30.93
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$30.00
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$32.23
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$34.61
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$36.02
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$37.47
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$37.55
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$33.19
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$30.61
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$29.50
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$33.11
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26
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NM
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$22.84
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$20.72
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$21.19
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$19.92
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$22.54
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$21.27
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$22.62
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$21.42
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$20.55
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$19.28
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$22.72
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$25.95
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27
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CO
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$32.04
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$29.89
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$28.93
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$26.90
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$31.92
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$32.38
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$32.85
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$30.99
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$30.17
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$24.59
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$27.37
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$28.92
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28
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AZ
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$35.11
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$33.17
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$32.89
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$27.49
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$29.41
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$26.84
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$27.34
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$24.75
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$16.22
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$15.92
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$21.37
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$24.62
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29
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NV
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$27.09
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$25.38
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$24.25
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$22.78
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$20.35
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$22.97
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$30.06
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$27.31
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$20.20**
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$16.64
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$20.56
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$23.46
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30
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OR, WA
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$34.83
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$33.80
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$33.81
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$34.82
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$37.46
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$36.45
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$35.30
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$35.60
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$31.76
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$30.19
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$28.71
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$30.60
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31
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ID, UT
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$39.66
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$39.51
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$39.74
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$39.02
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$42.15
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$40.86
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$40.68
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$40.89
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$37.46
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$33.53
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$31.77
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$33.62
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32
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CA
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$36.28
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$31.05
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$28.84
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$28.10
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$29.88
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$30.86
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$32.35
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$28.99
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$24.86
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$19.80
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$21.03
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$23.25
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33
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HI
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$26.52
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$26.23
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$27.91
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$25.69
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$33.33
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$30.41
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$29.76
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$25.55
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$25.01
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$24.32
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$26.35
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$27.44
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34
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AK
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$34.06
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$36.36
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$32.86
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$37.07
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$34.71
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$36.46
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$36.89
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$38.00
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$36.00
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$36.42
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$33.56
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$34.66
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*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.
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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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