Low Income Subsidy Qualifications
HIRSP offers reductions in premiums, deductibles, and drug coinsurance out-of-pocket maximums to eligible members who earn less than $33,000 a year.
If you believe you may qualify, submit to HIRSP a completed Application for Reduced Premium, Deductible, and Drug Copay Coinsurance. Your HIRSP application packet contains a copy of this form. If you do not have a copy of the form, you may obtain one from the HIRSP Web site (see below) or HIRSP Customer Service.
Reductions are effective for one year, and members are required to reapply each year to continue to receive them.
To apply for these reductions or to continue to receive them, HIRSP must have information about your 2007 household income from one of the following sources:
Emergency Recent Life Changing Event
If you have a life changing event, such as death of a spouse or loss of a job, and your household income has fallen below $33,000 for 2009, you can apply for an emergency subsidy.
Financial Assistance Resources
- American Kidney Fund
- National Brain Tumor Society
- Cancer Care
- Caring Voice Coalition, Inc.
- Chronic Disease Fund
- Colorectal Care Line
- Co-Pay Relief Program
- HealthWell Foundation
- Leukemia & Lymphoma Society
- LiveStrong Survivor Care Partnership
- National Brain Tumor Foundation
- National Foundation for Transplants
- National Marrow Patient Assistance Program & Financial Assistance Fund
- National Transplant Assistance Fund & Catastrophic Injury Program
- Partnership for Prescription Assistance
- Patient Access Network Foundation
- Patient Advocate Foundation
- Patient Services, Inc.
