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Summary

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Enter your ZIP code to see the plans available in your area. Answer additional questions to get more accurate estimate of costs and help choose a plan that is a good fit for you. Your answers do not affect Prescription Drug Plan premiums.

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Error: Zip Code is required

Error: Please enter a valid 5 digit zip code

What is your ZIP code?

Enter the ZIP code of your place of residence

* ZIP Code

Please select your County *

What extra help level(s) do you currently qualify for?

Accessibility note: the following is an image for tooltip help.

I am not eligible for special assistance.

I receive Medicaid as well as Medicare (Dual Full Subsidy).

I belong to a Medicare Savings Program (MSP).

I receive full extra help, but not Medicaid.

I receive partial extra help.

I don't know.

Select one of the following:

25%

50%

75%

100%

Please select the situation that best describes you.

Annual Income (2014 Amounts)	Liquid Assets (2014 Amounts; includes burial savings)
Less than $11,670	Up to $8,660
	Over $13,440
Between $11,670 and $15,755	Up to $8,660
Up to $15,755	Between $8,660 and $13,440
Between $15,755 and $17,505	Up to $13,440
$17,505 or more

Please select the situation that best describes you.

Annual Income (2014 Amounts)	Liquid Assets (2014 Amounts; includes burial savings)
Up to $15,730	Up to $13,750
	Over $26,860
Between $15,730 and $21,235	Up to $13,750
Up to $21,235	Between $13,750 and $26,860
Between $21,235 and $23,595	Up to $26,860
$23,595 or more

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Accessibility Statement

Mutual of Omaha Rx (PDP) is a prescription drug plan with a Medicare contract. Enrollment in the Mutual of Omaha Rx plan depends on contract renewal.

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al <1-833-530-2720> (TTY: 711).

Last Updated: 10/15/2018 12:00 AM

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