2012 Medicare / Medicaid Links
We feel it is important to provide our members and providers with easy access to other helpful information on Medicare and Medicaid programs and services. Below are links to helpful websites and information. By accessing these websites, you will be leaving the Community HealthFirst website.
For more information on Medicare Programs:
1-800-MEDICARE or TTY call 1-877-486-2047, 24 hours a day, 7 days a week, or visit the website at www.medicare.gov.
For more information on Washington State Medicaid Programs:
1-800-562-3022 or TTY call 1-800-848-5429, 7:00 a.m. to 6:00 p.m., Monday – Friday, or visit the website at www.dshs.wa.gov.
For more information on the Low Income Subsidy Program:
1-800-772-1213 or TTY call 1-800-325-0778, 7:00 a.m. to 7:00 p.m., Monday – Friday, or visit the website at www.socialsecurity.gov/prescriptionhelp/ or www.ssa.gov.
Low Income Subsidy Program
If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan.
The table shows you what your monthly plan premium will be if you get extra help:
| Your level of Extra Help: | MA Special Needs Plan (HMO-SNP) | MA Pharmacy Plan (HMO) (Urban Counties*) | MA Pharmacy Plan (HMO) (Rural Counties**) | MA Premium Plan (HMO-POS) | MA Enhanced Plan (HMO) (Rural Counties**) |
| No Extra Help | $36.50 | $33.60 | $49.00 | $79.00 | $79.00 |
| 100% | $0 | $0 | $22.10 | $47.80 | $52.40 |
| 75% | N/A | $8.40 | $28.80 | $55.60 | $59.00 |
| 50% | N/A | $16.80 | $35.50 | $63.40 | $65.70 |
| 25% | N/A | $25.20 | $42.30 | $71.20 | $72.30 |
The premiums listed above do not include any Medicare Part B premium you may have to pay.
Urban counties – Clallam, Clark, Island, King, Kitsap, Pierce, Skagit, Snohomish, Spokane, Thurston and Yakima.
** Rural counties – Adams, Benton, Chelan, Cowlitz, Douglas, Ferry, Franklin, Grant, Grays Harbor, Lewis, Lincoln, Mason, Okanogan, Pend Oreille, Stevens, Walla Walla and Whatcom.
Community HealthFirst premiums listed are for both medical services and prescription drug benefits.
If you are not getting extra help, you can see if you qualify by calling:
- 1-800-MEDICARE or TTY/TDD users call 1-877-486-2048 (24 hours a day/7 days a week).
- Your State Medicaid Office at 1-800-737-0617.
- Social Security at 1-800-772-1213. TTY/TDD users should call 1-800-325-0778 between 7:00 a.m. – 7:00 p.m., Monday through Friday.