Prescription Drug Coverage
- The Basics
- Private Health Coverage
- Medical Assistance (MA)
- Medical Assistance for Employed Persons with Disabilities (MA-EPD)
- Medicare
- MinnesotaCare
- Patient Assistance Programs (PAPs)
- AIDS Drug Assistance Program (ADAP)
- Example
- FAQs
- Pitfalls
- Next Steps
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Medical Assistance for Employed Persons with Disabilities (MA-EPD)
The Medical Assistance for Employed Persons with Disabilities (MA-EPD) program lets Minnesotans with disabilities work and earn any level of income, while keeping access to Medical Assistance (MA) coverage. MA-EPD also has a higher asset limit than MA usually does for people with disabilities. So, if you get MA due to your disability and start working, you can get MA-EPD and save up more money without losing your health coverage.
Eligibility
To qualify for MA-EPD, you must be:
- A Minnesota resident
- Certified disabled by the Social Security Administration or the State Medical Review Team (SMRT)
- Working
- Paying Medicare and Social Security taxes
- Earning at least $65 per month
To get MA-EPD, you have to pay a monthly premium based on your income and household size.
For detailed eligibility and application information, read DB101’s MA-EPD article.
MA-EPD Prescription Benefits
With MA-EPD, you don't pay anything when you get a prescription drug (there are no copayments).
Medicare Part D and MA-EPD
You do not have to participate in Medicare Part D to qualify for MA-EPD. But, if you refuse Part D coverage, you won't have any prescription drug coverage. MA-EPD will not pay for your prescription drugs if you are also eligible for Medicare. You should definitely enroll in both MA-EPD and Medicare if you can.
When you are enrolled in both, you automatically qualify for the Part D Low Income Subsidy. That means that if you enroll in a benchmark plan, you don’t have to pay any Part D premium or deductible. All you'll pay when you get a prescription drug is a $1.55 – $11.20 copayment.
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Finding the Right Coverage For You
Try this interactive guide to see your health coverage options.
Program HH
Program HH helps Minnesotans with HIV/AIDS pay for HIV-related drugs.
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