Medicare Health Plan Premium Rates How much you will pay each month for your health care premium. Plan Year 2025 Program Option Local High Deductible Health Plan (PO17) & Supplemental Benefits
Medicare Health Plan Premium Rates How much you will pay each month for your health care premium. Plan Year 2025 Program Option Local Health Plan (PO16) & Supplemental Benefits
Medicare Health Plan Premium Rates How much you will pay each month for your health care premium? Plan Year 2025 Program Option Local Traditional Health Plan with Uniform Dental (PO2) & Supplemental Benefits
Medicare Health Plan Premium Rates How much you will pay each month for your health care premium? Plan Year 2025 Program Option Local Traditional Health Plan (PO12) & Supplemental Benefits
Medicare Health Plan Premium Rates How much you will pay each month for your health care premium. Plan Year 2025 Program Option Local Deductible Health Plan (PO14) & Supplemental Benefits
Medicare Health Plan Premium Rates How much you will pay each month for your health care premium. Plan Year 2025 Program Option Local Health Plan with Uniform Dental (PO6) & Supplemental Benefits
Medicare Health Plan Premium Rates How much you will pay each month for your health care premium. Plan Year 2025 Program Option Local High Deductible Health Plan with Uniform Dental (PO7) & Supplemental Benefits
ET-8945 Form Other Benefit Recipient Vendor Privacy Incident Report Use this form to report any possible or confirmed breaches of protected health information (PHI) or personally identifiable information (PII).
Breakdown of Your Costs by Medicare Plan Design Lists the costs of common health services for each plan design. Plan Year 2025 Program Option Local Deductible Health Plan with Uniform Dental (PO4) & Supplemental Benefits