FAQ: M.E.D. Works
I am a disabled Medicaid member. If I go to work and get on the
M.E.D. Works program will my benefits change?
No. The Medicaid benefits for Medicaid Disability are the same
as for M.E.D. Works. M.E.D. Works is Medicaid.
Who is eligible for M.E.D. Works?
M.E.D. Works is available to you if you are disabled, according
to Indiana Medicaid standards, and working. Financial eligibility
is based on a formula for determining countable income. Your
countable income must not exceed 350% of the Federal Poverty Level
(FPL)
How can I find out if I qualify for M.E.D. Works?
Contact your local Division of Family Resources (DFR) office. If
you are not already on Medicaid, you must apply for Medicaid and
meet the medical eligibility requirements.
I only have a part-time job, would I be able to qualify for
M.E.D. Works?
Maybe. No minimum work effort is defined for this program. As
long as your employment is verifiable through pay check stubs, W-2s
or self employment records you will be considered employed and
therefore eligible for M.E.D. Works, provided that you meet the
other eligibility standards.
How much are premiums?
Premiums are a sliding scale fee based on your monthly gross
income. Premiums range from $48-$187 a month for a single person
and $65-$254 for a married person. You may not have any premium at
all and premiums are often much less than the spend-down
requirements for Medicaid.
2009 Premium Chart
| Family Size |
Monthly Gross Income /
Premium Amount |
| Single |
income $1354-1580
premium $48
income $1581-1805
premium $69
|
income $1806-2257
premium $107
income $2258-2708
premium $134
|
income $2809-3159
premium $161
income $3160+
income $187
|
| Married Couple |
income $1822-2125
premium $65
income $2126-2429
premium $93
|
income $2430-3036
premium $145
income $3037-3643
premium $182
|
income $3644-4250
premium $218
income $4251+
premium $254
|
*If gross income is less than $1,354 for a single person or
$1,822 for a married couple, there is no premium
How often do I pay premiums?
Premiums are paid on a monthly basis. You will receive a premium
payment book when you are enrolled in M.E.D. Works.
Where do I send my premium payments?
You will receive a premium book with a coupon stub that will
provide you with the address to send your payment. You may also
call the M.E.D. Works Payment Line at 866-273-5897 for the address
and information about your payments.
I have private health insurance through my job, should
I cancel it if I am on M.E.D. Works?
No. If you pay to participate in private health insurance,
continue to do so. Your M.E.D. Works premiums will be adjusted by
the amount that you pay each month for your private health
insurance. Medicaid will pick up payment on your medical expenses
where your private insurance leaves off.
What happens if I lose my job?
You may keep your M.E.D. Works coverage for 12 months following
the involuntary termination of your employment if you notify the
Division of Family Resources within 60 days and continue to meet
the criteria to maintain a connection in the workforce.
I have more questions. Who do I call now????
If you have more questions you should contact your local
caseworker, if you have one. Or call 317-234-0587.