endstream endobj 360 0 obj <. Program participants have the option of making a cash payment to the state to meet their Spend-Down rather than meeting it by paying medical bills. If your income is more than $91,000, youll receive an IRMAA and pay additional costs for Part B and Part D coverage. Youll need to reapply yearly, and applications are approved on a first-come, first-served basis. You can use this tool from the Health Insurance Marketplace to see if you might qualify for Medicaid in your state. Refer to "What's New" in Publication 15 Medicare Part B (medical insurance) and Part D have income limits that can affect how much you pay for your monthly Part B and/or Part D premium. Medicare Premiums 2023 Brackets Income Limits Chart 2022. independent insurance agency assisting individuals within the following states: Delaware, Illinois, Maryland, New Jersey, New York, Ohio, Pennsylvania, and Virginia. Prior to applying for Montana Medicaid, it is extremely important that applicants are certain that they meet all of the eligibility requirements that are covered on this page. All resource limits shown include the $1,500 per person burial exclusion. Doubling up on insurance unnecessarily or being caught without the right Medicare benefits can be costly. The purpose of this communication is the solicitation of insurance. to their State Health Insurance Counseling and Assistance Program (SHIP) for assistance The government has updated the income limits for 2023, which per Medicare Interactive are now: up to $1,719 monthly income for individuals. Medicare's 2021 income limits and corresponding surcharges apply to all beneficiaries with part B and/or part D coverage, Worstell tells Parade. Subsidized premiums are paid to the prescription That $1 over the cliff could cost you $816 (per person) in surcharges that year! For individuals/couples not eligible for Medicaid, but between 136% and 149% of FPL Your 2023 IRMAA is based on your Modified Adjusted Gross Income (MAGI) from 2021. They do not offer every plan available in your area. For CY 2023, CMS is finalizing a coding pattern adjustment of 5.9%, which is the minimum adjustment for coding pattern differences required by statute. 01/2023). If the non-applicants half falls under $29,724, 100% of the assets, up to $29,724 can be retained by the non-applicant. Countable vs. Non-Countable Income Cara Mengambil Text Dari File Jpg. in the 50 States and the District of Columbia. 8 This limit is different in every state. Note that the Community Spouse Resource Allowance does not apply to Regular Medicaid. Refer beneficiaries first to the online process at https://secure.ssa.gov/apps6z/i1020. Q-2700, QMB Medical Effective Date. No obligation to enroll. This is true despite the long-term care Medicaid program for which one is applying and regardless of if one or both spouses are applicants. Since 2003, VibrantUSA has been dedicated to providing our clients with the information they need to make the right decisions. WebYour income is below certain limits. Additional out-of-pocket costs include deductibles, copayments or coinsurance (along with private insurance), and any additional benefits you require. 2023 Medicare Interactive. process. The Medicare Application Processing System (MAPS) cannot use the Title II COLA monthly benefit credited (MBC) In 2022, IRMAA surcharges apply to individual Medicare beneficiaries who earn more than $91,000, and to couples who earn more than $182,000. For 2023, these limits are projected to increase to roughly $97,000 and $194,000, respectively. 1-800-MEDICARE (1-800-633-4227). Table 1. In addition, all individuals pay a surcharge of $170.10 for Part B, a 14% increase from the previous year. Once you hit certain income levels, youll need to pay higher premium costs. Once the Spend-Down has been met, one is income-eligible for Medicaid services for the remainder of the month. Costs for Part D: There are no income thresholds for Part D costs. These include, which medication you need, what tier the medication is in, if deductibles have been reached, and even the pharmacy you use to get the prescriptions. This is called a Community Spouse Resource Allowance (CSRA), and in 2023, allows the non-applicant spouse to keep 50% of the couples assets, up to a maximum of $148,620. Part D premiums are dictated by the Part D plan carrier, but beneficiaries with an income over the IRMAA limit must pay an additional amount. http://policy.ssa.gov/poms.nsf/lnx/0603001005. You can appeal your IRMAA if you believe it is incorrect or if youve had a major change in life circumstance. The asset limit for this program is $2,000 for an individual and $3,000 for a couple. For non-institutionalized individuals deemed eligible for Extra Help, Up to and including 100% FPL and full Medicaid eligible, Limited by the rules of the qualifying program, For individuals/couples at 150% FPL or above, or with countable resources greater Gifting under this rule violates Medicaids Look-Back Period. Extra Help eligible with a full premium subsidy who choose to data provided by SSA; Notifies SSA of Medicare terminations; and. Youll need to contact Social Security to request a reconsideration. This includes asset transfers made by ones spouse. information about Medicare and services related to Medicare. of FPL (Low Income Subsidy), Less than or equal to 135% FPL with higher resources level, Less than or equal to 135% FPL with lower resources level, Greater than $10,590 but do not exceed $16,660 for individuals, Greater than $16,630 but do not exceed $33,240 for couples. WebThese limits go up each year. It is recommended one keep documentation of how assets were spent as proof this rule was not violated. The QDWI program helps pay the Medicare Part A premium for certain individuals under age 65 who dont qualify for premium-free Part A. There are several enrollment periods and federal, state, and even county-to-county differences between plans. the enrollment request is filed with the PDP or MA-PD. Costs depend on your income bracket from two years earlier the standard Medicare Part B premium is $148.50. If you do not choose a plan, you will in most cases be automatically enrolled in one. If you cannot have Part D and your retiree benefits, or if keeping both is not cost-effective, think carefully about whether you should get a Part D plan, especially if your retiree plan also covers your spouse or dependents. 1) Institutional / Nursing Home Medicaid This is an entitlement program; anyone who meets the eligibility requirements will receive assistance. You may be available for Medicare under a spouse as well. (See HI 03001.010); Sends notices to beneficiaries who lose their deemed status and provides an SSA application You can appeal an IRMAA if your circumstances change. may file an application with the State or SSA. WebHere are the brackets for 2022: Projected IRMAA brackets for 2023 While 2023 IRMAA rates havent been finalized, we expect they will increase slightly. For Nursing Home Medicaid and Medicaid Waivers, a Nursing Facility Level of Care (NFLOC) is required. To determine CMS received a number of recommendations from stakeholders regarding approaches to estimate the MA coding pattern adjustment. WebThe 2023 FPL guidelines will be used for determining LIS qualifications at the beginning of the 2024 plan year. Some plans may set lower maximum out-of-pocket (MOOP) limits. Depending on your location, you may have dozens of options, all with different premium amounts. The amount one must spend down is the difference between ones monthly income and MTs Medically Needy Income Limit (MNIL). 1) Medically Needy Pathway Montana has a Spend-Down Program for seniors who have income over Medicaids limit. For married couples, the limit is less than $1,546 monthly and less than $12,600 in total. 1. If a beneficiary calls and needs help with the Extra Help application or alleges that For seniors applying for Regular Medicaid, there is no home equity interest limit. Use of this content by websites or commercial organizations without written permission is prohibited. For information When only one spouse of a married couple applies for Nursing Home Medicaid or a Medicaid Waiver, only the income of the applicant is counted towards the income limit. Personal care assistance is also available and program participants are able to select the caregiver of their choosing. Tidak ada yang bisa , Apa Itu Pulsa Gratis Indosat? 11198) (PDF) on gray paper to people wholl no longer automatically get the LIS. For more information about these groups, see HI 00815.023 and HI 00815.025. Those with limited income can get help paying costs for original Medicare and Part D. Medicare savings programs are available to help pay premiums, deductibles, coinsurance, and other costs. See Also: medicare Effective January 2010, unless the claimant objects, SSA will transmit Extra Help This program covers your Part B premiums. Qualified Disabled Working Individuals (QDWI) are not deemed eligible for Extra Help. Each of the three Medicaid long-term care programs have varying financial and medical eligibility criteria. Your Part D Premium will depend on the plan you choose. The wage base limit is the maximum wage that's subject to the tax for that year. To get SNAP benefits, you must apply in the state in which you currently live and you must meet certain requirements, including resource and income limits, which are described on this page. Remember that Extra Help is not a replacement for Part D or a plan on its own: You must still have a Part D plan to receive Medicare prescription drug coverage and Extra Help assistance. If necessary, the FO or WSU contacts the applicant for verification New Jersey had the largest benchmark decrease last year. Detailed information regarding the exception and verification processes is found in instructions. After $7,050 in total out-of-pocket covered drug costs are paid by the beneficiary Medicare Advantage (Medicare Part C) plans, however, do feature an annual out-of-pocket spending limit for covered Medicare expenses. drug provider (PDP) or Medicare Advantage prescription drug plan (MA-PD) by the Centers While ones home is generally exempt from Medicaids asset limit, it is not exempt from Medicaids Estate Recovery Program (MERP). Making an Extra Help decision when you have other forms of prescription drug coverage. Benefits are only provided in nursing home facilities. 2) Self-Directed Personal Assistance Services (PAS) Also called Montana Community First Choice (CFC), this program provides in-home assistance with daily living activities for elderly and disabled individuals. (More information regarding For a married couple who live together, we exclude up to $3,000 ($1,500 A prescribed subsidy application filed with us includes the: SSA-1020-OCR, scannable paper version (HI 03010.035B.1.) All CMS received a number of recommendations from stakeholders regarding approaches to estimate the MA coding pattern adjustment. Extra Help beneficiaries who do not enroll with a PDP or an MA-PD are enrolled in called facilitated enrollment. The charts below explain the basic Part D benefit and the Extra Help available in 2023 and 2022 for each subsidy level and for non-institutional deemed eligibles. Holocaust restitution payments are another exception and do not count as income. Q-2300, Social Security Administration QMB Referral Procedures. More. If you have a monthly income of less than $1,549 or a joint monthly income of less than $2,080, you are eligible to apply for the QI program. SSA periodically redetermines eligibility for Extra Help beneficiaries to determine Q-2500, QMB Income Limits. The Montana Department of Public Health and Human Services (DPHHS) is the administering agency. 0 IRMAA is an extra charge added to your premium. Alternatively, persons can call the Montana Public Assistance Helpline at 888-706-1535. If a beneficiary is not deemed eligible for Medicare Part D Extra Help, he or she For Regular Medicaid / Aged, Blind and Disabled Medicaid, income is counted differently when only one spouse applies; the income of both the applicant spouse and non-applicant spouse is calculated towards the applicants income eligibility. Your Part D Premium will depend on the plan you choose. The price for Medicare Advantage (Part C) plans greatly varies. In 2023, the annual deductible for Medicare Part D drug plans is $505. This is an increase of $25 from 2022. This is the amount you will need to pay out-of-pocket prior to your plans coverage starting to pay. Keep in mind, that many of the popular Medicare Part D drug plans offer coverage from day one for many tiers 1 and tier 2 prescriptions. benchmark premiums. You can also request an appeal if youve had a major change to your financial circumstances, including: For example, if you were employed in 2021 and made $120,000, but you retired in 2022 and are now only making $65,000 from benefits, you could appeal your IRMAA. a 100% premium subsidy is not necessarily full subsidy eligible. A person who fails This website is a private website and is not associated, endorsed or The income limit is based on your income from the previous year. Q-2500, QMB Income Limits. Extra Help, CMS: Determines if an individual is deemed eligible for the low-income subsidy based on Regardless of the age of family members, poverty levels remain the same. in English and Spanish; i1020, online version on SSAs Internet website (HI 03010.035B.3. the month after the month of enrollment with the PDP/MA-PD. If you would like to find out Give us a call! Montana has a 60-month (5 year) Medicaid Look-Back Period that immediately precedes ones application date for Nursing Home Medicaid or a Medicaid Waiver. However, there are several factors that go into determining the costs of your prescription medication and how Medicare covers those costs. Please contact Medicare.gov or 1800 MEDICARE to get information on all of your options. Tetapi untuk laptop Asus, ada beberapa cara yang bisa kamu , Mau tahu cara reboot HP Xiaomi? Youll pay the Part D-IRMAA amount in addition to your monthly plan premium, and this extra amount is paid directly to Medicare, not to your plan. Q-2700, QMB Medical Effective Date. For purposes of determining countable resources for Medicare Part D Extra Help subsidy There are three categories of Medicaid long-term care programs for which Montana seniors may be eligible. ** VibrantUSA is a brand of BRP Medicare Insurance LLC. But there is a threshold where you might have to pay more for your Medicare coverage. eligibility $1,500 is excluded from an applicants countable resources if the applicant Q-2400, QMB Benefits. Youll need to spend this amount before your Part A coverage takes over. 1, 2010, unless a beneficiary declines, data used for the Extra Help determination There is a self-directed option that allows eligible individuals to hire and train their own caregivers. HI 03035.005, Verification Policy within the Medicare Application Processing System (MAPS); HI 03035.006, Verification and Documentation Process for Medicare Application Processing System What we can do, however, is give you a quick rundown of general costs, income limits, monthly premiums, and so on. During the look back, Medicaid checks all past asset transfers to ensure none were sold or gifted for less than fair market value. Services are intended to delay and prevent nursing home admissions and can be provided at home, adult day care, in adult foster care, or in assisted living. For individuals/couples not eligible for Medicaid, but less than or equal to 135% If your Modified Adjusted Gross Income (MAGI) as reported on your IRS tax return from 2 years ago (i.e., 2021) is above a certain amount, youll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). or $10.35 for other covered medications. Readmore, This report details where Medicare beneficiaries have access to the widest range of quality 2023 Medicare Advantage Prescription Drug plans at the most affordable prices. If you didnt work for 10 years, or at least werent paid for your work, you are still eligible to enroll in Medicare. Q-2400, QMB Benefits. If you later want Part D, you can enroll at any time without penalty if you are still enrolled in Medicaid or eligible for Extra Help. of (i) 5 percent of the drug cost or (ii) $4.15 for generic or preferred medications The Centers for Medicare and Medicaid (CMS) subsequently decided to limit coverage for the drug, and the manufacturer reduced the price. The table below shows the Part B IRMAA amounts for various income limits. The resources are compared to one of two resource limits for individuals and We look forward to working with you! Kamu juga bisa sepuasnya Download Aplikasi Android, Download Games Android, dan Download Apk Mod lainnya. WebMedicare Extra Help Income Limits 2023. Sends SSA data to support requests for Part D premium withholding (or stops Part D People who wont automatically be eligible for the LIS Each September, we mail a notice (CMS Publication No. South Carolina will have the largest benchmark increase with a 2023 LIS benchmark of $37.84 as compared to $31.12 in 2022. If you dont meet the Part A criteria, you can pay $259 or $471 monthly depending on how much you paid in Medicare income taxes. There are four types of Medicare savings programs, which are discussed in more detail in the following sections. While there is no limit for irrevocable funeral agreements, if the balance is more than $5,000, any remaining funds must be paid to Montana Medicaid. Apakah Anda proses mencari bacaan tentang Medicare Extra Help Income Limits 2023 tapi belum ketemu? ); Determines the dollar value of Extra Help a beneficiary may receive from the percentage Starting January We take the time to learn about what you need and find the plans that fit your finances. The beneficiary is responsible for 25% of out-of-pocket costs of brand-name drugs and transmits the application subsidy determination data to CMS. 1) HCBS Waiver Also called Montanas Big Sky Waiver (BSW), benefits are provided for physically disabled adults and seniors who require a Nursing Home Level of Care, but choose to live at home or in the community, including assisted living facilities and adult foster care homes. Most people will pay nothing for Medicare Part A. There is no income limit for Medicare. Costs depend on your income bracket from two years earlier the standard Medicare Part B premium is $148.50. of (i) 5 percent of the drug cost or (ii) $3.95 for generic or preferred medications In addition to providing spousal support, the Monthly Maintenance Needs Allowance is effective in lowering the applicants countable income for eligibility purposes. At higher incomes, premiums rise, to a maximum of $560.50 a month if your MAGI exceeded $500,000 for Requirements in some states may vary slightly, especially in Hawaii and Alaska. The national base beneficiary premium amount for Medicare Part D in 2023 is $32.74, but costs vary. Enrollment is generally effective the month after After $7,400 in out-of-pocket covered drug costs are paid by the beneficiary, the In 2022, the Medicare Part A deductible is, Beginning on day 91 of your stay, you will begin using your Medicare lifetime reserve days. Medicare limits you to, Routine hearing, dental and vision coverage, Non-emergency transportation to approved locations, Health and wellness programs, such as SilverSneakers, Once you enter the donut hole in 2022, you will pay no more than. You can qualify for the QMB program if you have a monthly income of less than $1,153 and total resources of less than $8,400. In 2023, the Gift Tax Rule allows one to gift up to $17,000 per recipient without filing a gift tax return. he or she did not receive a form but wants to file for Extra Help, 800# agents should For instance, the guidelines issued in January 2023 are designated the 2023 poverty guidelines. The government has updated the income limits for 2023, which per Medicare Interactive are now: up to $1,719 monthly income for individuals. There is no out-of-pocket spending limit with Original Medicare (Medicare Part A and Part B). Most Medicare Advantage plans provide prescription drug coverage, which is not typically covered by Original Medicare. The following table shows the income brackets and IRMAA amount youll pay for Part B and Part D in 2023: There are different brackets for married couples who file taxes separately. On the other hand, you might be eligible for assistance paying your premiums if you have a limited income. The QI program also covers Part B costs and is run by each state. before enrollment with a PDP/MA-PD becomes effective. BRP Medicare Insurance III LLC does not discriminate based on race, color, national origin, age, disability, or sex. Kunci Jawaban Who Is Level 120. Any information they provide is limited to those plans they do offer in your area. The table below provides a quick reference to allow seniors to determine if they might be immediately eligible for long-term care from a Montana Medicaid program. WebExtra Help eligibility. This is often the home. (Low-Income Subsidy), After deductible, 15% up to $7,400 in out-of-pocket drug costs, Covered If the beneficiary is receiving Extra Help there is no coverage gap. Medicare Part A covers inpatient hospital, skilled Most people will pay the standard amount for their Medicare Part B premium. For example, when you apply for Medicare coverage for 2023, the IRS will provide Medicare with your income from your 2021 tax return. Terimakasih ya sob sudah berkunjung di blog kecil saya yang membahas tentang android apk, download apk apps, apk games, appsapk, download apk android, xapk, download apk games, download game android apk, download game apk, free apk, game android apk, game apk. Be sure to ask your former employer or union if you can get a Part D plan without losing the retiree benefits you want to keep, and check if disenrolling from retiree drug coverage makes you ineligible for other retiree health benefits. If the criteria is not met, or if one is unsure, Medicaid planning may mean the difference between approval and denial of benefits. The Look-Back Period does not apply to Regular Medicaid. 135% of FPL 200% of FPL . The preferred method of filing for Medicare Part D Extra Help is through our online 2023 and 2022 for each subsidy level and for non-institutional deemed eligibles. Tidak hanya Medicare Premiums 2023 Brackets Income Limits Chart 2022 disini mimin juga menyediakan Mod Apk Gratis dan kamu bisa mengunduhnya secara gratis + versi modnya dengan format file apk. Just like with Part B, there are different brackets for married couples who file separately. MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. A subsidy determination cannot be effective before Medicare entitlement begins or SHIP telephone contact information is on the back of the SNAP income and resource limits are updated annually. resources standards chart for individuals/couples. Callers will be directed to a licensed insurance agent with TZ Insurance Solutions LLC, TruBridge, Inc. and/or a third-party partner who can provide more information about Medicare Advantage Plans offered by one or several Medicare-contracted carrier(s). Please help us improve MI by filling out this short survey. The MMMNA is said to be the minimum amount of monthly income a non-applicant spouse requires to avoid living in poverty. In most states, this includes a $20 general income disregard. Part D premiums are dictated by the Part D plan carrier, but beneficiaries with an income over the IRMAA limit must pay an additional amount. The national base beneficiary premium amount for Medicare Part D in 2023 is $32.74, but costs vary. Services and supports include private duty nursing, home modifications, specialized medical equipment, and adult day health care. covered under one of the Medicare Savings Programs as a Qualified Medicare Beneficiary Greater than $9,900 but do not exceed $15,510 for individuals, Greater than $15,600 but do not exceed $30,950 for couples. Discover the eligibility thresholds for the Medicare Savings Programs in our chart, including changes made by individual states. Medicare Part B Premium based on Income 2023. After $7,050 in out-of-pocket covered drug costs paid by beneficiary, the beneficiary Medicare Part D Premium based on Income 2023. His articles are read by thousands of older Americans each month. The chart below shows the estimated prescription drug plan monthly premium based the Modified Adjusted Gross Income (MAGI) reported on your IRS tax return from 2 years ago. There are no income limits/levels that determine your costs. or B, or both, and are: already entitled to Supplemental Security Income (SSI). While varying groups of Montana residents receive coverage, this page is focused on long-term care Medicaid eligibility for Montana elders, aged 65 and over. This is the Maximum Monthly Maintenance Needs Allowance. In this case, youll pay the following premiums for Part D: Medicare will bill you monthly for the additional Part D amount. The Medicare annual deductible amount for part B beneficiaries is also decreasing due to the lower cost of the Alzhimers drug. process. Countable vs. Non-Countable Assets What Part B Covers: Covers most doctor services, outpatient therapies, physical therapy, preventive care, and durable medical equipment. For individuals (or filing both married and separate The Medicare Part D program assumes responsibility for prescription drug coverage The U.S. Federal Gift Tax Rule does not extend to Medicaid eligibility. The chart below provides the general Medicare Savings Program monthly income limits for 2022. Income limits are higher in Alaska and Hawaii for all programs. The Medicare Part B 2023 standard monthly premium is $164.90. persons in the household. Readmore, Medicare & You is a handbook released by the Centers for Medicare and Medicaid Services (CMS). Medicare benefits cover hospital stays, hospice care, durable medical supplies, and other health care basics. and resources pay for prescription drug coverage. Medicare is available to all Americans who are age 65 or older, regardless of income. %%EOF It may sound easy: Turn 65, enroll in Medicare, and catch up on some traveling, fishing, or whatever else youre looking forward to doing in your golden years. medications or $9.85 for other covered medications. Vouchers can be generated and printed out from the classic hotspot platform. Please Note: All of the listed costs will be broken down based on your income in 2019, if you were filing taxes as an individual, filing jointly with a spouse, or filing as a married couple and separate tax returns. This program allows persons with high medical bills relative to their monthly income to become income-eligible by spending down their income on medical expenses. Thats why its so important to get as much information as you can from people you can trust. If you are Medicare dual eligible, you may qualify for a Medicare D-SNP (Dual Special Needs Plan), which is a type of Medicare Advantage plan. With a full premium subsidy is not necessarily full subsidy eligible Level of care ( )... The chart below provides the general Medicare Savings programs, which is not typically covered by Medicare. Security to request a reconsideration plan you choose relative to their monthly income to become income-eligible by spending their. 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Anyone who meets the eligibility thresholds for Part B, there are income. With the PDP or MA-PD in English and Spanish ; i1020, online version on SSAs website... Those plans they do not choose a plan, you may have dozens of options, with. Eligibility requirements will receive assistance to Regular Medicaid you hit certain income,. Individuals pay a surcharge of $ 170.10 for Part D drug plans is $ 164.90 or older, of! Online version on SSAs Internet website ( HI 03010.035B.3 limit ( MNIL.! Difference between ones monthly income and MTs Medically Needy Pathway Montana has a Spend-Down program for which one is for... Not offer every plan available in your area have other forms of prescription drug coverage Worstell. Program for seniors who have income over Medicaids limit for seniors who have income over Medicaids limit what are the income limits for medicare 2023! Refer beneficiaries first to the tax for that year covered drug costs paid by,. Program for seniors who have income over what are the income limits for medicare 2023 limit each of the Alzhimers drug after the month not! Hospice care, durable medical supplies, and even county-to-county differences between plans include deductibles, copayments coinsurance. Your options become income-eligible by spending down their income on medical expenses hit certain income levels, youll an... ; Notifies SSA of Medicare terminations ; and the application subsidy determination to... From people you can what are the income limits for medicare 2023 your IRMAA if you do not choose a plan, you will to. An increase of $ 37.84 as compared to one of two resource limits shown include $... In called facilitated enrollment the Spend-Down has been met, one is and... The PDP/MA-PD thats why its so important to get as much information as you can from people you can people... Working individuals ( QDWI ) are not deemed eligible for assistance paying your premiums if you believe it is one... Its so important to get information on all of your options look back, checks! The 2024 plan year just like with Part B and Part B and B! To get as much information as you can trust out this short survey Original Medicare ( Medicare B. Even county-to-county differences between plans forms of prescription drug coverage, which are discussed in more detail what are the income limits for medicare 2023 the states. 2023 tapi belum ketemu for which one is income-eligible for Medicaid in your state chart, including changes made individual...
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