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FY2015 CIP Rates 

 

Benefit Recipient Rates

 Type of Plan   Not Medicare
Primary
Not Medicare
Primary
 
Not Medicare
Primary
 
Medicare
Primary*
 

 FY2015 Rates

 Under Age 26

 Age 26 - 64

 Age 65 and Above

 All Ages

 Managed Care
(HMO or OAP)

 $103.79

 $259.46

 $362.23

 $108.00

 CCHP

 $121.99

$304.96

$431.11

$105.99

 

Dependent Beneficiary Rates

Type of Plan

Not Medicare
Primary

Not Medicare
Primary

Not Medicare
Primary
 

Medicare
Primary*
 

 FY2015 Rates

 Under Age 26

 Age 26 - 64

 Age 65 and Above

 All Ages

 Managed Care
(HMO or OAP)

 $415.14

 $1,037.86

 $1,448.93

 $431.99

 CCHP

 $487.94

$1,219.86

$1,724.44

$423.95

 

* This rate applies to plan participants enrolled in both Medicare Parts A and B, or participants enrolled in Medicare Part A only and whose Part B benefits are reduced. Send a copy of your Medicare card to the CMS Group Insurance Division, Medicare Coordination of Benefits (MCOB) Unit at 801 S. 7th Street, P.O. Box 19208, Springfield, IL 62794-9208.  If you or your dependent is actively working and eligible for Medicare, or you have additional questions about this requirement, contact the MCOB Unit at 1-800-442-1300, or directly at (217) 782-7007.

Updated 04/30/14