Countable income - premium amount
States have flexibility when determining the type and amount of cost sharing they require for enrollment in the HWD program with the following exception. States cannot require a premium amount that exceeds 7.5 percent of the enrollee's total income. Income used to calculate HWD premiums includes only that of the person enrolling in the program. If both spouses apply, their premiums are calculated separately using only the income of each spouse. ACES 3G calculates the HWD premium using the program formula and then compares that amount to 7.5 percent of the enrollee's total income. The lesser of the two is sent to the Office of Financial Recovery (OFR) for billing purposes.
Premium example:
A person earns $2,065 per month and receives $1,141 SSDI.