10-001 Low Income Subsidy (LIS) Assistance
Medicare Part D beneficiaries who submit an application and meet certain income and asset requirements may qualify for low income subsidy assistance with cost sharing and premiums. The two Medicare low income subsidy groups are:
1. Medicare individuals with income below 135% FPL and resources below the designated resource level for an individual or a couple.
The eligible individuals pay:
a. No premium if their premium is equal to the low-income benchmark premium for Nebraska;
b. No deductibles;
c. Copayments; and
d. No copayments after the individual spends the required amount in cost sharing; and
2. Medicare individuals with income below 150% FPL and resources below the designated resource level for an individual or a couple.
The eligible individuals pay a:
a. Sliding-scale premium;
b. Deductible;
c. 15% coinsurance up to the established limit in total spending; and
d. Copayments.
12/25/2005