Specified Low Income Medicare Beneficiaries (SLMB) and Qualifying Individuals (QI)
These programs may help pay your Medicare Part "B" Premiums.
Eligibility:
- Is entitled to Medicare Part A hospital insurance
- Has countable income between 120% and 135% of the Federal Poverty Level
- Has countable resources below the limit ($7,730 for an individual and $11,600 for a couple)
- Is not otherwise eligible for full Medicaid benefits
Income Limit:
|
Family Size |
SLMB 120%
|
QI 135% |
|---|---|---|
|
1 (Individual) |
$1,214 |
$ 1,366 |
|
2 (Couple) |
$1,646 |
$ 1,852 |
Benefits:
For a SLMB or a QI, Healthy Connections is required to pay the Medicare Part B premium only. These individuals are not entitled to any other Medicaid benefits; therefore, they do not receive a Medicaid card.
To Apply:
Apply online or complete the following form and submit it 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 county office