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 ($7,280 for an individual and $10,930 for a couple)
  • Is not otherwise eligible for full Medicaid benefits
Income Limit: 

Family Size

SLMB

120%

QI

135%

1 (Individual)

$1,188

$ 1,337

2 (Couple)

$1,602

$ 1,803

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 

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