- Evidence of Coverage
- Summary of Benefits
- Formulary
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- LIS Premium Summary Chart
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- Member Handbook
Low Income Subsidy Premium Summary Chart
Please click on the link below to view a chart that shows you what your monthly plan premium will be if you get extra help from Medicare to help pay for your Medicare prescription drug plan costs.
Download the SWH LIS Premium Summary Chart (PDF)
To download the LIS Premium Summary Chart, you must have Adobe Acrobat Reader installed. If you do not have Adobe Acrobat Reader installed on your computer, click here to download and install a free version of Adobe Acrobat Reader or click on the Adobe Acrobat Reader icon below.
Please click on the link below to read the Centers for Medicare & Medicaid Services policy on Best Available Evidence.
CMS Best Available Evidence Policy *
* Please note: By clicking on this link you will be leaving the SWH web site.
Last modified: 09/15/2010