To make sure your provider knows you have QMB, show both your Medicare and Medicaid or QMB card each time you get care. If you get a bill for medical care Medicare covers, call your provider or plan about the charges. Tell them that you have QMB and can’t be charged for Medicare deductibles, coinsurance and copayments. If this doesn’t resolve the billing problem, call 1-800-MEDICARE (1-800-633-4227).
Medicare.gov: the official U.S. government site for Medicare
Medicaid and the Medicare Savings Programs 2016
Applications for these programs may be obtained from the Medicaid office at the local (county) Department of Social Services. Or, you may print the application form from the link below. All applications for the Medicare Savings Program must be mailed to the local Department of Social Services where you live. The phone number and address for the local Department of Social Services may be found in the government pages of the telephone book.
Could I be eligible for a government program other than Medicaid to help with my health care costs (Medicare Savings Programs)?
States use different rules to count your income (money you take in, for example, Social Security payments that you get or wages that your earn) and assets (resources such as checking accounts, stocks and some property) to determine if you are eligible for an MSP. Certain income or assets may not count. Some states do not have an asset limit.
Department of Human Services
If your annual income in 2016 is less than $17,820 for a single person or $24,030 for a couple, and your assets, not including your home and car, total less than $13,640 for a single person or $27,250 for a couple, you can get the State of New Jersey to pay your Part D premium, lower your co-pay amount and pay only that reduced co-pay amount throughout the year (i.e., you have no donut hole). People on LIS also pay no late enrollment penalty. The average person on LIS saves $3,900 each year in prescription costs.
Medicare Savings Programs (MSP)
We will pay the Medicare Part B premiums for members on regular Health First Colorado (Colorado’s Medicaid Program), or those on the Medicare Savings Program. We will not pay the Part B premiums for any member on a Non-Medicaid Medical Assistance program including OAP-State Only, Colorado Indigent Care Program (CICP), or Child Health Plan Plus (CHP+).
Medicare Savings Programs: Four Options to Help with Medicare Costs
The Qualifying Individual (QI) Program is another level of the Medicare Savings Program. If you don’t qualify for QMB or SLMB, you might try applying for the QI Medicare Savings Program instead. This program pays for Medicare Part B premiums and automatically qualifies you for the Extra Help prescription drug program. Be aware that you must reapply each year for these benefits. Also, program funding is limited, so benefits are available on a first-come, first-served basis, and priority is given to individuals who received QI benefits the previous year. If you qualify for Medicaid, you cannot receive QI benefits.