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/ 2020 )

ANNUAL INCOME

(Eff. 03/01/ 2020 )

Resources

(Eff. 01/01/ 2020 )

1

2

$1,064

$1,437

$ 12,760

$ 17,240

$ 7,860

$ 11,800

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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