The Qualified Medicare Beneficiary (QMB) and Specified Low Income Medicare Beneficiary (SLMB) programs are commonly referred to as Medicare Cost Savings Programs. The purpose of these programs is to assist individuals by paying:
- Medicare premiums and by making payments to medical providers for coinsurance and deductibles for Medicare services; or
- Medicare Part B premiums only.
To qualify for the QMB/SLMB program, applicants must meet three general eligibility requirements:
- Be enrolled in Part A Medicare (Hospital Insurance)
- Have resources not exceeding the QMB/SLMB resource maximums for an individual or couple. Refer to the Aged, Blind and Disabled Income and Asset Limit chart for current resource amounts.
- Have income not exceeding the QMB/SLMB standard of the Federal Poverty Level for the assistance group size
Additionally, QMB/SLMB applicants must also meet the MHABD general eligibility requirements of:
- Social Security number
- Citizenship/Alien status, and
Qualified Medicare Beneficiary
The QMB program pays for Medicare Part B premiums, coinsurance, and deductibles for eligible persons enrolled in Medicare Part A, whose income is less than 100% of the Federal Poverty Level. There is a standard $20 deduction from income, before it is compared to the Federal Poverty Level. Refer to the Adult Standards chart for the current QMB income standards.
Specified Low Medicare Beneficiary
The SLMB program provides payment of Medicare Part B premiums only for individuals who would be eligible for the QMB program except for excess income. Income for this program must be more than 100% of the FPL, but not exceed 120% or 135% of the FPL. There is a standard $20 deduction from income, before it is compared to the Federal Poverty Level. Refer to the Adult Standards chart for the current SLMB income standards.