Eligibility Basics: MA vs MA-EPD
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As you have just learned in this module, basic MA and MA-EPD have many things in common; however, there are several differences. Below is a comparison chart to help outline the similarities and differences between the two programs.
MA |
MA-EPD |
MAGI |
|
| Bases of eligibility | Children under 21, pregnant women, parents/caretakers, adults without children etc. | Must be certified disabled and employed making over $65 per month. | |
| Coverage | Home care services, inpatient hospital services, medical equipment services, mental health services, personal assistance services, physical, occupational and speech therapy, physician and health clinic visits, prescription drugs. | Same coverage as standard MA. MA-EPD also pays Medicare Part B premiums for those under 200% FPG. | |
| Income Guidelines | Varies, but must be under 275% (with some exceptions). | No limit. | |
| Asset Limit | Method A: Method B: |
$20,000 regardless of household size. | No asset limit. |
| Premiums | none | Based on a sliding fee scale beginning at $35 per month unless a premium exemption is met. |
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