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