What You Pay

If you get Medicaid for Employed People with Disabilities (MEPD), you may need to pay a monthly premium, depending on your income. Most services do not have copayments.

Premiums

Your MEPD premium is determined by your individual gross income, which is your total income before taxes are taken out. This is different than the countable income calculation that is used to see if you are eligible for MEPD. The income of your family members does not affect your premium amount.

If your gross monthly income is more than $1,956, you need to pay a premium for MEPD coverage. The higher your gross income, the higher your premium will be.

MEPD Premiums by Gross Income

If Your Monthly Gross Income Is:	Then Your Monthly Premium Is:
$0 - $1,956	$0
$1,957 - $2,152	$43
$2,153 - $2,348	$59
$2,349 - $2,608	$70
$2,609 - $2,934	$82
$2,935 - $3,260	$97
$3,261 - $3,913	$113
$3,914 - $4,565	$141
$4,566 and up	Check the MEPD website.

The maximum premium for MEPD is $913, which is for people whose monthly income is more than $19,302.

Note: American Indians do not have to pay premiums, regardless of their income.

When Can My Premium Change?

Once MEPD figures out your premium amount, your premium is fixed for a 12-month period, called the premium period. Your premium will not go up during these 12 months, even if your income goes up. However, if your income goes down, your premium may go down. If your income changes, report the change to your local Health and Human Services (HHS) office within 10 days.

Every 12 months, MEPD reviews your eligibility and starts a new premium period. Depending on your situation, your premium could go up or down.

Billing

If you have to pay a monthly premium to get MEPD, your Health and Human Services (HHS) office sends you a bill each month, which tells you how to pay and the date that your payment is due. If you don't pay your bill on time, you may lose your MEPD coverage.

If you have questions about billing, contact your caseworker or your local Health and Human Services (HHS) office.

Copayments When You Get Services

People who have MEPD usually do not need to pay anything for medical services.

You never need to make copayments if you are:

• Under 21 years old
• Pregnant, or
• An American Indian in a federally recognized tribe or an Alaska Native.