Income Guidelines 2018
Basic Coverage Group
Beneficiaries earning up to 200% of the Federal Poverty Level (FPL) do not pay premiums for health care coverage through MED-Connect.
For 2018, 200% of the FPL is:
Individual: $2,023 monthly
Couple: $2,743 monthly
If your income is above these amounts, you will pay a monthly premium based on 10% of income above the limit. There is an exception for individuals whose net family income is between 250% and 450% of the FPL. These individuals pay a maximum of 7.5% of their net family income. The basic MED- Connect program is available to employed persons with disabilities. Income can be up to $75,000 per year, as long as some monthly income is from earnings. There is no minimum earnings requirement for the basic MED-Connect program.
Social Security Administration’s Substantial Gainful Activity (SGA)
The monthly SGA amount for individuals for 2019 is $1,220 monthly. For statutorily blind individuals the monthly SGA amount is $2,040.
Additional Requirement for the Medically Improved Group
Persons who have lost disability status with the Social Security Administration can retain disability status under MED-Connect if they are earning at least 40 times the Federal Minimum Wage per month. For 2019 that figure is: $7.25 times 40 = $290.