Type of
Participant​
Type of Plan​ Not Medicare Primary​ Medicare Primary*​
​Under Age 26 Age 26​-64​ ​Age 65 and Above​ ​All Ages
​Benefit
Recipient ​
​Managed Care Health Plan
(OAP or HMO)
​$79.43 $246.75 ​$336.19 ​$97.51
​TCHP ​$206.16 ​$581.87 ​$875.10 ​$231.22
​TCHP when managed care is not available in your county ​$103.08 ​$290.94 ​$437.56 ​$115.62
​Dependent
Beneficiary ​
​Managed Care Health Plan
(OAP or HMO)
​$317.86 ​$986.98 ​$1,344.71 ​$337.82**
​TCHP ​$412.31 ​$1,163.75 ​$1,750.20 ​$462.44
​TCHP when managed care is not available in your county ​$412.31 ​$1.163.75 ​$1,750.20 ​$346.84**
 * This rate applies to benefit recipients enrolled in Medicare Parts A and B, or benefit recipients enrolled in Medicare Part A only and whose Part B benefits are reduced. If you or your dependent is actively working and eligible for Medicare, or you have additional questions about this requirement, contact the CMS Group Insurance Division, Medicare Coordination of Benefits (COB) Unit.
 **Medicare Primary Dependent Beneficiaries enrolled in a managed care plan, or in TCHP when no managed care plan is available, receive a premium subsidy.
 
 
 
Updated 08/17/2017