HAR §17-1722-90
HAR §17-1722-90. Benefits of the LIS program
Cite as Haw. Code R. § 17-1722-90
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:
(A) The portion of the premium that exceeds
the low income benchmark premium amount
for basic coverage; and
(B) Co-payments.
(2) Full benefit dual eligible individuals above
one hundred percent of the FPL, Medicare
Savings Program beneficiaries, SSI
recipients, and non-dual eligible
UNOFFICIAL
1722-27
individuals with countable income that does
not exceed one hundred thirty-five percent
of the FPL shall be responsible for:
(A) The portion of the premium that exceeds
the low income benchmark premium amount
for basic coverage; and
(B) Co-payments.
(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:
(A) The portion of the monthly low income
benchmark premium amount based on a
sliding scale;
(B) A deductible;
(C)
The co-insurance portion incurred with
the Part D coverage gap; and
(D) Co-payments.
(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. [Eff 12/25/06 ]
(Auth: HRS §346-14) (Imp: 42 C.F.R.
§423.774; 423.904; Pub. L. 108-173)