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REV. MAY 8, 2026 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY HEALTH AND HUMAN SERVICES 477-000-012

Medicare Premium

The premium amount for dual eligibles is assessed for those newly enrolled in Part B in 2021, not receiving social security, being directly billed for Part B, having Part B paid by Nebraska Medicaid, and whose modified adjusted gross income on IRS tax return from 2 years ago is below a certain amount.

Social security can tell the exact amount the individual is responsible for. See Medicare for more information on Part B costs at: https://www.medicare.gov/your-medicare-costs/part-b-costs/part- b-costs.html

Other Limits

Premium Charts for Medical Insurance for Workers with Disabilities (MIWD) and Transitional Medical Assistance (TMA)

MIWD Premium Payment Chart – Effective 1/1/26

HH Size - 1 Low High Monthly Premium Annual Premium $1,330 $2,659 $0 $0 $2,660 $2,792 $40 $480 $2,793 $2,925 $98 $1,176 $2,926 $3,058 $161 $1,932 $3,059 $3,191 $199 $2,388 $3,192 $3,325 $239 $2,868

Standard Medicare Part B Premium for 2025 Standard Medicare Part B Premium for dual eligible 2025 185.00 185.00 Standard Medicare Part B Premium Effective 1/1/26 Standard Medicare Part B Premium for dual eligible Effective 1/1/26 202.90 202.90 OTHER LIMITS Shelter Allowance 281 349