Qualified Medicare Beneficiaries (QMB)
This program may help pay your Medicare Part "B" Premiums. Healthy Connections will make a QMB determination for a Medicaid-eligible individual in any full benefits category if that individual is covered under Medicare Part A.
Eligibility:
To be eligible as a QMB, an individual must be entitled to Medicare Part A and:
- Be aged 65 or over or
- Blind or
- Disabled
Income Limit:
|
FAMILY SIZE |
MONTHLY INCOME (Eff. 03/01/2018) |
ANNUAL INCOME (Eff. 03/01/2018) |
Resources (Eff. 01/01/2018) |
|---|---|---|---|
|
1 2 |
$1,012 $1,372 |
$ 12,149 $ 16,460 |
$ 7,560 $ 11,340 |
Benefits:
QMB coverage offers payment of Medicare premiums, co-pays and deductibles.
To Apply:
Apply online and submit this supplemental form to your local county officeAdditional Information for Select Medicaid ProgramsIf you elect to file a hardcopy application, you may complete the following forms and submit them to your local county office: