to main content

Financial Hardship Subsidy Information

Adjustments Are Made Based on Certain Factors

Financial hardship shouldn’t get in the way of getting the healthcare you need. If you receive extra assistance from Medicare to help pay for your prescription drug costs, your monthly KelseyCare Advantage premiums will also be lower.

The amount you pay for your monthly premium will depend on which plan you are on and what percentage of extra assistance you receive from Medicare for your prescription drugs.

2023 Monthly Premium

Your Level of
Extra Help

Monthly Premium for
KelseyCare Advantage
Gold*

Monthly Premium for
KelseyCare Advantage
Gold Freedom*

Monthly Premium for
KelseyCare Advantage
Gold Community*

Monthly Premium for
KelseyCare Advantage
Platinum*

 100%

 $0

 $0

$0

$0

75%

 $0

$0 $0

 $0

 50%

 $0

$0 $2.50

$0

 25%

 $0

$0 $8.70

 $0

 None

 $0

$0

 $15.00

$0

 

* This does not include any Medicare Part B premium you may have to pay.

Need More Help?

KelseyCare Advantage’s premium includes coverage for both medical services and prescription drug coverage. If you aren’t getting extra assistance from Medicare, you can see if you qualify by calling:

  • 1-800-Medicare (24 hours a day/7 days a week; TTY/TDD users call 1-877-486-2048
  • Your state Medicaid office
  • The Social Security Administration at 1-800-772-1213 (TTY/TDD users should call 1-800-325-0778) between 7 a.m. and 7 p.m., Monday through Friday)

Always at Your Service

Call Member Services at 713-442-CARE (2273)
or toll-free at 1-866-535-8343 (TTY: 711)

8 a.m.– 8 p.m. | 7 days a week | From October 1 to March 31

8 a.m.– 8 p.m. | Monday – Friday | From April 1 to September 30

X
Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.
Confirm