Below is a chart summarizing the basic details of these programs for 2018. Program Income Limit Resource How It Helps Qualified 100% Federal $7,560 single, Pays Part A Medicare Poverty $11,340 couple and B Beneficiary premiums, (QMB) deductibles, co-insurance, and Specified 120% Federal $7,560 single, Pays Part B Poverty Level $11,340 couple premium only Medicare Beneficiary (SLMB) Qualifying 135% Federal $7,560 single, Pays Part B Poverty Level $11,340 couple premium only Individual (QI) Qualified 200% Federal $4,000 single, Pays Part A Disabled Poverty $6,000 couple premium only Working Individual (QDWI) It's important to point out these programs don't help with the Medicare Part D out-of-pocket expenses; a separate program called Low Income Subsidy, which will be covered later in this unit, covers those. Additionally, Medicare Savings Programs don't cover Medigap or Medicare Advantage premiums. Qualified Medicare Beneficiary (QMB) Of the four Medicare Savings Programs, QMB (sometimes referred to as "quimby") provides the most support. If a Title II disability beneficiary is eligible for QMB, the State Medicaid agency will pay his or her Part B premium as well as any Part A and B deductibles and co-insurance. To be eligible, the beneficiary must:
Below is a chart summarizing the basic details of these programs for 2018. Program Income Limit Resource How It Helps Qualified Medicare Beneficiary (QMB) 100% Federal Poverty $7,560 single, $11,340 couple Pays Part A and B premiums, deductibles, co-insurance, and Specified Medicare Beneficiary (SLMB) 120% Federal Poverty Level $7,560 single, $11,340 couple Pays Part B premium only Qualifying Individual (QI) 135% Federal Poverty Level $7,560 single, $11,340 couple Pays Part B premium only Qualified Disabled Working Individual (QDWI) 200% Federal Poverty $4,000 single, $6,000 couple Pays Part A premium only It's important to point out these programs don't help with the Medicare Part D out-of-pocket expenses; a separate program called Low Income Subsidy, which will be covered later in this unit, covers those. Additionally, Medicare Savings Programs don't cover Medigap or Medicare Advantage premiums. Qualified Medicare Beneficiary (QMB) Of the four Medicare Savings Programs, QMB (sometimes referred to as "quimby") provides the most support. If a Title II disability beneficiary is eligible for QMB, the State Medicaid agency will pay his or her Part B premium as well as any Part A and B deductibles and co-insurance. To be eligible, the beneficiary must:
Understanding%20MSPs%202018.docx