Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1722 - SPECIAL MEDICAL ASSISTANCE COVERAGES AND PROGRAMS
Subchapter 11 - LOW INCOME SUBSIDY PROGRAM
Section 17-1722-90 - Benefits of the LIS program
Current through February, 2024
The LIS program provides full or partial assistance with the subsidy for the coverage of the monthly premiums and cost-sharing related to Medicare part D to individuals based on the countable income of their households:
(1) Full benefit dual eligible individuals with countable income up to one hundred percent of the FPL shall be responsible for:
(2) Full benefit dual eligible individuals above one hundred percent of the FPL, Medicare Savings Program beneficiaries, SSI recipients, and non-dual eligible individuals with countable income that does not exceed one hundred thirty-five percent of the FPL shall be responsible for:
(3) Non-dual eligible individuals with income that exceeds one hundred thirty-five percent but does not exceed one hundred fifty percent of the FPL shall be responsible for:
(4) Full benefit dual eligible individuals who are residing in a medical institution will not be subject to any cost-sharing related to Medicare part D.
