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The Qualified Medicare Beneficiary (QMB) program is a state program designed to assist individuals who are dual eligible for Medicare and Medicaid. QMB is targeted towards low-income seniors and disabled individuals.
Requirements
QMB requires enrollment in Medicare Part A and Medicaid and income and resources that fall within specified limits. In 2009 the income limit is $923 for an individual and $1,235 for couples, and the resource limit is $4,000 for individuals and $6,000 for couples.
Coverage
QMB covers Medicare Part A deductibles, Medicare Part B deductibles and premiums, co-payments for extended hospital stays and outpatient medical services and other qualifying medical expenses.
Prescription Drugs
If you qualify for QMB, you automatically qualify for assistance paying for Medicare Part D coverage.
Specified Low-Income Medicare Beneficiary Program (SLMB)
If your income is greater than QMB guidelines but not in excess of 120 percent of the federal poverty level, you may qualify for SLMB. SLMB pays the monthly premium for Medicare Part B only. Further information can be obtained from your local or state Medicaid office.
Enrollment
Contact your local or state Medicaid office for QMB enrollment information. If you do not currently have Medicare Part A, contact your local Social Security Administration office or go to medicare.gov for more information.
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