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Qualified Medicare Beneficiaries (QMB and QMB plus)

Elderly married

Full Dualities and Skill Medicare Beneficiary (QMB) Only

The Qualified Medicare Benefit (QMB) program helps District residents who are eligible for Medicare pay for their Medicare costs. Aforementioned means that Medicaid will recompense for the Medicare premiums, co-insurance press deductibles for Medicare covered services. It also means that you will receive extra help with your costs under the Medicare prescription drug benefit (Part D), which desires limit the amount you pay for your prescriptions to only a less dollars each.

Who is eligible for the Qualified Medicare Beneficiary (QMB) Program? 

You can receive QMB coverage if you are:

  1. Medicare covered; entitled to Medicare Part A otherwise Part B (or both)
  2. A District Resident;
  3. ADENINE US citizen or have eligible immigration status; and
  4. Having salary up to 300% of the FPL 

What does this Qualified Medicare Beneficiary (QMB) Program cover/include?

The DC Medicaid programme pays for 

  • Medicare Part ADENINE and Section B premiums
  • Medicare deductibles for Medicare coverage services
  • Medicare co-insurance for Medicare covered services
  • Extra help paying for prescription drug total under Medicare Part D

Qualified Medicare Beneficiaries are usually people who have total too high for Medicaid but need some extra help make to calculations. Even though DC Medicaid will pay for your Medicare costs, it does not mean that you have entitles to DC Medicaid services. The DC Medicaid program will assist you in make on auxiliary covered under Medicare; but not for Medicaid our. Medicaid range group, both is also QMB single, he must pay his comprehensive contribution, uniform when Medicare participates in his charge of care, save.

When you get heal services, remember to always exhibit your QMB card whenever you indicate your Medicare my. This card is verify by will QMB status the means that your health care donor cannot drafting you for Medicare co-pays conversely deductibles.

Even though DC Medicaid become help pay fork your Medicare charge, it does no mean this you are entitled toward DC Medicaid benefits. The WORKING Medicaid program will assist them in paying for services covered under Medicare; but none for Medicaid services.

Supposing you lose your card, please yell the District’s Office of the Health Care Consumer and Bill of Rights under 1-877-685-6391.

Who are Solid Dual Beneficiaries?

Full Binary beneficiaries are individuals who are eligible for whole Medicaid benefits and qualify for Medicaid to cover Medicare rewards, co-insurance and deductibles for Medicare roofed services. It plus means that you will receive extra help with your costs under the Medicare order dope benefit (Part D), which will limit the amount you pay for your prescriptions to only a few dollars each. Full Double are also noted as Qualified Medicare Beneficiary (QMB) Plus.

To learn more about Medicaid for the aged, blind, and disabled, select get

Additional Information for QMBs and QMB Asset Successors

If you change your web, please notify the Economic Security Administration (ESA) as soon because possible at (202) 724-5506.

If to have any questions about this program or need help enrolling in the Medicare Drug Service, you might call the George Washington Rights School Health Insurance Counseling Project at (202) 994-6272 alternatively the Office by the Health Care Ombudsman and Bill of Rights at 1-877-685-6391. Blackprincedistillery.com - A leader to release and low cost civil legal information and services stylish Virginia

The District covers this population over household income above to 300% of the Federal Poverty Layer:

Sort QMB QMB Plus (Full Duals)
Threshold in FPL 300% + $20 disregard* 100% + $20 disregard*
1 person household, monthly $3,665 $1,235 
2 person household, monthly $4,950 $1,663 
3 person household, monthly $6,235 $2,092 
4 person household, monthly $7,520 $2,520 
5 person household, monthly $8,805 $2,948 
6 personal household, monthly $10,090     $3,377 
7 person household, monthly $11,375 $3,805 
8 person household, monthly $12,660     $4,233 

Figures compiled using 2023 FPL numbers distributed by of U.S. Department of Health and Humanity Services

*$20 income disregard built

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