MAWD Premium Increases On Hold During COVID-19

The COVID-19 emergency has caused wide-spread financial uncertainty for millions of Americans.  During this tumultuous time, maintaining health insurance has become more crucial than ever.  This can be especially important for people with disabilities.  Many employed Pennsylvanians with disabilities utilize the Medical Assistance for Workers with a Disability (MAWD) program.   

Recently, the Centers for Medicare and Medicaid Services (CMS) provided guidance on their Families First Coronavirus Response Act (FFCRA) regarding these benefits, and the premiums associated with them.  The vast majority of MAWD recipients must pay a premium to be enrolled in the program.  MAWD premiums are usually five percent of the individual’s earned and unearned income, after allowable deductions.  

Recently, CMS issued a memorandum stating that MAWD premiums cannot be increased during the COVID-19 emergency.  Premiums can only be lowered.  If an individual’s premium was increased since January 1, 2020, they will have their premium changed back to the lower amount automatically.  These individuals should also receive a letter in the mail indicating their premium is being changed back to the lower amount.   

If you or somebody you know has had their MAWD premium increased since January 1st 2020, and it has not reverted back to the lower amount, please call our Helpline at 1-800-274-3258.  The Helpline is open Mondays, Wednesday, and Fridays from 8am-8pm.