Specified Low Income Medicare Beneficiary (SLMB) & Qualified Individual Program (QI) pay the Medicare Part B insurance premiums for Part B participants who have trouble paying premiums.
These are state programs, similar to medical assistance, for people who need help paying for Medicare services.
- You must be eligible for Medicare Part A (even if not currently enrolled)
- But NOT financially eligible for medical assistance
- And have limited income and assets
(Apply $20 income disregard - see note below)
There are two levels of monthly income:
Note: $20 may be subtracted from the individual's or couple's gross income; if the $20 subtraction reduces the income to the number listed above, then the individual or couple probably qualifies for the benefit.
The Specified Low-Income Medicare Beneficiary (SLMB) benefits are revised annually by the Center for Medicare and Medicaid Services (CMS), the federal agency that administers the program. These figures are usually updated in April of each year and can be found in the Federal Register, the official government source for administrative changes.
Assets not over:
- These limits apply to personal assets including cash, bank accounts, stocks and bonds
- You can appeal any denial, termination, or reduction of benefits
- Appeals must be filed in writing at the DSS office. It is best to file it in person and to get a receipt showing that you filed the appeal.
- Appeals must be filed within 90 days of the action, or you cannot appeal.
- If you file within 10 days of notice that benefits are being terminated or reduced, they will continue until the decision. If you do not appeal within 10 days, the termination or reduction will happen.
Sources of Law:
Federal Law: 42 U.S.C. §§ 1396a(a)(10)(E), 1396(p)
Federal Regulations: 5 CFR Pt. 900, Subpt. F, App. A (Medicaid must be enacted) 42 C.F.R. 417
Federal Policy Materials: The Federal Medicare Web Page, has questions and answers, help and general information.
State Regulations: COMAR 10.09.24 et seq.