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Welcome to the MAPP Premium Estimator
You have reached the Medicaid Purchase Plan (MAPP) premium estimator web
site. The MAPP Premium Estimator will give you an approximate monthly premium
amount. For an actual premium determination you should contact your County Economic
Support Specialist.
What is MAPP?
The Medicaid Purchase Plan promotes the competitive employment and economic
self-sufficiency of people with disabilities by assuring continued access to
Medicaid (MA) for necessary health care services. MAPP allows working people
with disabilities to qualify for MA under higher income and asset limits than
standard MA. The goal of the program is to encourage people with disabilities
to work and enjoy the benefits of being employed. MAPP provides access to the
same services that you would have under any MA eligibility group.
You can be enrolled in both MAPP and your employer's health insurance. If
you have access to private insurance, MAPP may be able to pay your premium for
your employer sponsored insurance through the Health Insurance Premium Payments
program (HIPP). Contact your County Economic
Support Specialist. about HIPP.
To be eligible, you must:
- Have a disability determination by the Social Security Administration
or a MAPP disability determination
- Be 18 years of age or older
- Have less than $15,000 of liquid assets (excluding your home, one
vehicle, household goods, etc)
- Have less than 250% of the Federal Poverty Level (FPL) gross income for
your family size
- Not be receiving an SSI cash benefit. If you are an SSI recipient who
is earning at a level of income that eliminates your SSI cash benefit while
maintaining your eligibility for SSI, you are most likely eligible. For an
actual determination you should contact your County Economic
Support Specialist..
Participants who have individual income above 150% of FPL will be required
to pay a premium. Premiums will vary based on income. You can estimate what
your monthly premium would be or estimate how increases in earnings affect your
premium using the program below. For more information on MAPP eligibility and
application contact your County Economic
Support Specialist..
To estimate the MAPP premium you would pay, click the "Next" button and
answer the questions on the calculator on the next page. To see how your
premium would change if your income changed, fill in different income
information and press "Calculate" again. You may round dollar amounts to the
nearest $10.
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