Specified Low Income Medicare Beneficiaries (SLMB) and Qualifying Individuals (QI)
These programs may help pay your Medicare Part "B" Premiums.
- 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
Family Size |
SLMB 120% (Eff. 03/01/2020 ) |
QI 135% (Eff. 03/01/2020 ) |
1 (Individual) |
1,276 |
1,436 |
2 (Couple) |
1,724 |
1,940 |
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.
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.
Additional Information for Select Medicaid Programs