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Are ALL stand-alone PDPs $0 premium for LIS recipients?

wehotex

Guru
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2,419
Houston, Tex
As I was reading the 2024 Information, I filtered in Full Extra Help options and found that ALL PDPs (even the most expensive Cadillac plans) all present as $0 premium! Up to this, only a few were $0 premium with discounted premium on the rest. What gives?
 
wellcare had quite a few questions about this on their certs. Only the classic for that one for sure. Not sure about every state, but michigan, def not.
 
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As I was reading the 2024 Information, I filtered in Full Extra Help options and found that ALL PDPs (even the most expensive Cadillac plans) all present as $0 premium! Up to this, only a few were $0 premium with discounted premium on the rest. What gives?


That’s because in 2024 all lis is full lis . So the old 25,50,75% is now 100% . 150% or less poverty levels is 100% lis . I went thru all my lis people with regular plans that had partial lis and will move them lis plans with zero premiums .
 
Benchmark = the max Rx plan premium Medicare will cover for LIS qualified members
This explains:
https://q1medicare.com/news/Article...chmark-premiums&article_id=1006&category_id=8
Scroll down in the article for a table of state benchmark premiums and the year to year changes since 2006 when PDP's started.
Found 5 plans, I believe at least 2 of them don't pay commissions. Will confirm.

Now this: from Medicare, 2024 all LIS have $0 premium and pay the reduced amounts for prescriptions. for 100% LIS.
https://www.medicare.gov/basics/costs/help/drug-costs
Still check which plans don't pay commissions.
 
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