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Medicaid insurance caters to individuals with low income and provides an affordable, government-funded healthcare option for this demographic. The QMB program has specific income requirements that must be met, and these amounts often change from year to year.
A5: Yes. The QMB billing restrictions apply to all QMB, including those enrolled in Medicare Advantage plans and original Medicare.
SPOTLIGHT & RELEASES. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries.
Medicaid insurance caters to individuals with low income and provides an affordable, government-funded healthcare option for this demographic. The QMB program has specific income requirements that must be met, and these amounts often change from year to year.
QMB: Net countable income at or below 100% of the Federal Poverty Level (FPL) (at or below $908* for a single person, or $1,226* for a couple). SLMB: Net countable income below 120% of the FPL (below $1,089* for a single person, or $1,471* for a couple).
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The Qualified Medicare Beneficiary (QMB) Program is one of the four Medicare Savings Programs that allows you to get help from your state to pay your Medicare premiums. This Program helps pay for Part A premiums, Part B premiums, and deductibles, coinsurance, and copayments.
What Is QMB Only? QMB Only is a program that ONLY provides financial assistance for certain Medicare costs. It does not provide any additional Medicaid coverage, and cannot be used to receive benefits not covered by Medicare.
SPOTLIGHT & RELEASES. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries.

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