Low Income Subsidy Premiums for this Plan Year

Medicare provides Part D premium and cost-sharing assistance to beneficiaries who qualify for the program’s low income subsidy, also called the LIS. An enrollee’s premium will generally be lower once he or she receives extra help from Medicare, if the enrollee joins an Essence plan with a monthly premium. If you qualify for extra help, you pay $0 or a reduced monthly premium. The premiums listed are for both medical services and prescription drug benefits (Medicare Advantage-Part D plans only).

Essence Advantage®(HMO)

Level of Extra Help
100%

100%

75%

75%

50%

50%

25%

25%

Your Monthly Premium
100%

$0.00

75%

$0.00

50%

$0.00

25%

$0.00

Essence Advantage Plus®(HMO)

Level of Extra Help
100%

100%

75%

75%

50%

50%

25%

25%

Your Monthly Premium
100%

$43.30

75%

$50.70

50%

$58.10

25%

$65.60

Essence Advantage Select (HMO)

Level of Extra Help
100%

100%

75%

75%

50%

50%

25%

25%

Your Monthly Premium
100%

$0.00

75%

$0.00

50%

$0.00

25%

$0.00

To learn more about what information is needed to have your records immediately updated to reflect that you qualify for “extra help” (low income subsidy) click here.

Click Here to learn more about getting extra help to pay for your prescription drug premiums and costs.

Part D sponsors must provide access to Part D drugs at the correct LIS cost-sharing level when presented with evidence of LIS eligibility. Learn more about CMS’ “Best Available Evidence” (BAE) policy”.