Programs |
Manual Section |
ALTCS |
The customer is billed quarterly for a $120.00 health insurance premium. The customer chooses to have the premium payment divided across all three months. The quarterly payment is divided by three to get a monthly amount of $40.00.
The customer receives $100.00 from his pension every month to help pay for his medical insurance. His premium is $250.00. The $100.00 payment is not counted as income. The entire $100.00 is a reimbursement.
The reimbursement does not cover the whole insurance premium. The customer gets a $150.00 SOC deduction for the part of his premium not covered by the pension.
The customer receives $100.00 from his pension every month to help pay for medical insurance for himself and his spouse. The total premium for both is $150.00.
The $100.00 payment is not counted as income. The entire $100.00 is a reimbursement.
For SOC, only the customer’s share of the premium is considered. The $100.00 reimbursement is more than his share of the premium ($75.00). No SOC deduction is allowed.
The customer receives $297.00 from his pension every month as reimbursement for Medicare premiums for himself and his spouse. Social Security deducts Medicare premiums of $148.50 from each spouse’s gross SSA benefit.
The customer's half of the reimbursement is not counted as income. The customer does not receive a SOC deduction for Medicare expenses because the pension reimburses his cost.
Because his wife pays her own Medicare premium, the wife's half of the reimbursement ($148.50) is counted unearned income to the customer. When AHCCCS begins paying the customer’s Medicare Part B premium, the entire $297.00 will be counted unearned income to the customer.
The customer receives Extra Help to help pay her Medicare Part D premium. Her Part D premium is $37.00 per month. Extra Help pays $34.20 of that amount. The customer gets a $2.80 SOC deduction for the Part D premium that she pays.