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The document is an application form from the State of California's Department of Health Care Services for individuals seeking assistance under the Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), and Qualifying Individual (QI) programs. It outlines eligibility criteria, including income and property limits, and provides instructions for completing the application to receive benefits that cover Medicare premiums, deductibles, and coinsurance fees.

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Versions	Form popularity	Fillable & printable
2022	4.7 Satisfied (49 Votes)
2014	4.8 Satisfied (39 Votes)
2011	3.9 Satisfied (54 Votes)

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How is QMB different from Medicaid?

Unlike other Medicaid eligibility groups, QMB benefits are not retroactive. Coverage begins the first day of the month following the month in which the individual is determined to qualify for this eligibility group.

What is the difference between slmb and qmb?

If your income is slightly too high for you to qualify for QMB benefits, you may still be eligible for another state medical assistance program: Specified Low-Income Medicare Beneficiary (SLMB). The resource limits for SLMB eligibility are the same as for a QMB, but the income limits are 20% higher.

What are the benefits of slmb?

Benefit. Individuals who apply for SLMB Only get payment (Buy-in) only for their Medicare Part B premium and no other benefits. SLMB does NOT pay for ones Medicare Part A premium, or for Part A and B deductibles and coinsurance. SLMB only recipients do not receive a MC BIC.

What is the specified low income Medicare beneficiary program?

A friendly reminder: You cant balance bill Medicare beneficiaries who have extra benefits. Some dual-eligible Medicare beneficiaries have extra benefits. You cant charge these members for cost sharing.

Is QMB good or bad?

QMB is better. Pays for copays, coinsurance, and premiums A+B. SLMB just pays the part B premium.

qmb application online pdf

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What does specified low-income Medicare beneficiary mean?

Specified Low-Income Medicare Beneficiary (SLMB) is a Medicare Savings Program (MSP) administered by each states Medicaid program. It pays the Medicare Part B premium for people with Medicare who have limited income and assets.

What is the qualified Medicare beneficiary QMB program?

The QMB group provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries (QMBs).

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How is QMB different from Medicaid?

What is the difference between slmb and qmb?

What are the benefits of slmb?

What is the specified low income Medicare beneficiary program?

Is QMB good or bad?

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What does specified low-income Medicare beneficiary mean?

What is the qualified Medicare beneficiary QMB program?

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