Part A and B Part B deductibles and Scenario once the work goal Premium will co-insurance will is achieved be paid? be paid? Has QMB, will have QMB Yes Yes Has QMB, will have SLMB/QI No Yes Has QMB, won’t have MSPs No No Has SLMB/QI, will have QMB Yes Yes Has SLMB or QI, will have No Yes SLMB/QI Has SLMB/QI, won’t have No No MSPs Scenarios for beneficiaries who will continue to be eligible for Medicaid or will become eligible when they working: Part A and B deductibles and Scenario once the work Part B Premium co-insurance will goal is achieved: will be paid? be paid? Has QMB, will have QMB Yes Yes Has QMB, will have SLMB Yes (Medicaid) Yes Has QMB, won’t have Yes (Medicaid) Maybe (Medicaid) QMB/SLMB Has SLMB, will have QMB Yes Yes Has SLMB, will have SLMB Yes (Medicaid) Yes Has SLMB, won’t have Yes (Medicaid) Maybe (Medicaid) QMB/SLMB
Scenario once the work goal is achieved Part A and B deductibles and co-insurance will be paid? Part B Premium will be paid? Has QMB, will have QMB Yes Yes Has QMB, will have SLMB/QI No Yes Has QMB, won’t have MSPs No No Has SLMB/QI, will have QMB Yes Yes Has SLMB or QI, will have SLMB/QI No Yes Has SLMB/QI, won’t have MSPs No No Scenarios for beneficiaries who will continue to be eligible for Medicaid or will become eligible when they working: Scenario once the work goal is achieved: Part A and B deductibles and co-insurance will be paid? Part B Premium will be paid? Has QMB, will have QMB Yes Yes Has QMB, will have SLMB Yes (Medicaid) Yes Has QMB, won’t have QMB/SLMB Yes (Medicaid) Maybe (Medicaid) Has SLMB, will have QMB Yes Yes Has SLMB, will have SLMB Yes (Medicaid) Yes Has SLMB, won’t have QMB/SLMB Yes (Medicaid) Maybe (Medicaid)
2017_WIPA_Manual_Module_4_S.docx