Health care coverage

MA-EPD good cause requests

“Good cause” means events beyond your control that cause you to be unable to pay your Medical Assistance for Employed Persons with Disabilities (MA-EPD) premium. If you think you will have a change that is out of your control and will affect your ability to pay your premium, you can submit a good cause request to see whether you qualify to have your premium waived for one or more months. Note: Depending on your situation, premiums that are past due may not be waived.

What is good cause?

  • Your income changed unexpectedly.
  • You had an unexpected serious physical or mental illness that affected your earnings.

What is NOT good cause

  • You were late on your payment of an initial premium.
  • You paid other household expenses instead of your MA-EPD premium.

How do I request a premium waiver for good cause?

  1. Fill in the MA-EPD Good Cause Application form
  2. Submit the form one of three ways:
    1. Click the Submit button at the end of the form or
    2. Print the form and send it by fax to 651-431-7563 or 
    3. Print the form and mail it to DHS MA-EPD Good Cause, P.O. Box 64967, St. Paul, MN 55164-0967
  3. If you need help filling out the form, you can call Disability Hub MN at 866-333-2466.
MA-EPD Good Cause Application

What happens next?

  • DHS will mail you a response within 30 days of receiving your application to let you know if you qualify for a premium waiver.
  • If you qualify, DHS will waive your MA-EPD premiums for the duration of your Good Cause term.

Do I qualify to have my premium waived?

DHS will look at your specific situation to determine whether you qualify to have your premium waived.

What if I can’t afford to pay my premiums?

Disability Hub MN can help you explore resources and strategies to: 

  • Increase your income
  • Reduce your expenses and debt
  • Manage your money or
  • Explore other health care options
Contact Disability Hub MN

Questions?

Premium billing questions such as:

  • Do I owe any premium payments?
  • What is my premium billing account status?
  • I haven’t received my premium invoice yet or why am I still getting premium invoices when my coverage has closed?

Call the DHS health care billing line at 651-431-3205 or 800-657-3762

Eligibility questions such as:

  • Why do I have a premium or a spenddown?
  • Why is my premium or spenddown amount so high?
  • Are there other programs I qualify for?

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