The Tax Equity And Fiscal Responsibility Act


The Tax Equity and Fiscal Responsibility Act (TEFRA) was signed into law in 1982 as a federal act that aims to provide relief to families with children with disabilities. The act allows states to provide Medical Assistance to children with disabilities without considering their parents' income. At Stevens & Associates Insurance Agency Inc., we understand that some situations may be benefitted from TERFA, and we would like to help inform you to make the best decision for your family.

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TEFRA Eligibility

TEFRA eligibility is extended to children who are 18 years old or below, have a disability, and require a level of care that is usually provided in a hospital setting. Children who are already eligible for Medicaid can also be enrolled in TEFRA. In some cases, you may be eligible for TEFRA benefits if your child has a disability, and are not covered by Medicare.

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TEFRA Benefits

In some cases, families with children with disabilities may not qualify for Medicare, leaving them with high medical bills. TEFRA benefits cover a wide range of medical services, including hospitalization, physician services, lab services, and medical equipment. TEFRA also covers home health care and nursing home care, which can be essential for children with disabilities. TEFRA has been instrumental in providing medical assistance to families with children with disabilities. Its benefits are numerous and can significantly improve the quality of life for families in need.

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TEFRA costs vary from state to state, and families are required to pay a monthly premium based on their income. The premium amount is usually lower than what families would have to pay for private health insurance. Stevens & Associates Insurance Agency Inc. can help families navigate the enrollment process, determine eligibility, and provide information on the costs associated with the program.

Medicare Advantage plans are offered by Stevens & Associates Insurance Inc. and provide additional benefits beyond those offered by original Medicare. Medicare Advantage plans often include coverage for prescription drugs, dental care, vision care, and hearing aids, which can be important for individuals with disabilities.

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TEFRA Assistance

Stevens and Associates Insurance Agency Inc. is committed to helping families in Santa Barbara understand and provide information on how to enroll in TEFRA. We offer comprehensive information on Santa Barbara health insurance, Santa Barbara medical insurance, and Santa Barbara health care insurance. We provide personalized assistance to families, ensuring they get the most out of TEFRA. In addition to providing information on TEFRA, Stevens & Associates Insurance Agency Inc. can also assist families with enrolling in other programs that can help individuals with disabilities, such as Medicaid and Medicare Advantage plans. Medicaid is a joint federal and state program that provides health coverage to people with low income, including those with disabilities. Medicaid covers a broader range of services than Medicare, such as home health care and nursing home care.

TEFRA is a federal program that provides medical assistance to children with disabilities, and it may be an option for families who do not qualify for Medicare. Stevens & Associates Insurance Agency Inc. can help families in Santa Barbara understand and enroll in TEFRA, as well as other programs that can help individuals with disabilities. By being knowledgeable about these programs, our insurance agents can provide more comprehensive assistance to you, and help you navigate the healthcare system. Reach out to us today for more information.

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