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. 03/01/2022) ANNUAL INCOME (Eff. 03/01/2022) Resources (Eff. 01/01/2022)
1
2
$1,133
$1,526
$ 13,590
$ 18,310
$ 8,400
$ 12,600
Benefits: 

QMB coverage offers payment of Medicare premiums, co-pays and deductibles.

To Apply: 

Apply online  or complete the following form(s) and submit it electronically to 8888201204@fax.scdhhs.gov , by mail to SCDHHS-Central Mail, P.O. Box 100101, Columbia, SC 29202-3101 or to your local county office.

Section 303 of the Medicare Catastrophic Coverage Act of 1988 (MCCA) required the State Medicaid program to pay the premiums (Part A and/or B) and cost sharing for individuals/couples with limited resources and incomes at or below 100% of the Federal Poverty Level.

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