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Medicare: Financial Assistance (QMB, QWDI, SLIMB)

The Benefits Under Each Of The Assistance Programs

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QMB: Qualified Medicare Beneficiary Program

QMB pays for a beneficiary's Medicare premiums, deductibles and coinsurance.

To be eligible, Medicare beneficiaries must have net countable income at or below the federal poverty level and with limited resources (see below.)

Eligible individuals receive full coverage for just about all medical care except prescriptions, dental and nursing home case. These excepted items are covered by state Medicaid.

Most states do not cover adult dental care in their Medicaid programs. Some states such as New York do cover adult dental care.

If you don't qualify for state Medicaid, see Drugs 101 to find out how to qualify for free medications.

SLMB: Specified Low Income Medicare Beneficiary Program

Under SLIMB, Medicare premiums are paid for the recipient (deductibles and co-payments are the recipient's responsibility). As a bonus, the monthly deduction for Medicare Part B is restored to the recipient's check for Social Security Disability Insurance (SSDI).

To be eligible, Medicare beneficiaries can have a net countable income between 100 and 120% of the federal poverty level and have limited resources. (See below.)

Q1-1 (or QQDI): Qualified Individual Program

Q1-1pays for Medicare Part B premium.

Eligibility is Medicare beneficiaries with net countable income between 120 and 135% of the federal poverty level and limited resource. (See below.)

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