Mc14a 2025

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QMB follows the SSI (Supplemental Security Income) guidelines on what income should be counted, which means roughly half of your income from work is not counted. But Social Security benefits do count as income for QMB, including disability and retirement benefits.
How is the QMB program different from Medicaid? Medicaid, also known as Medical Assistance or QMB Plus, provides benefits for services not normally covered by Medicare. QMB, which is partial Medicaid, helps pay for services only if they are covered by Medicare.
Starting January 1, 2024, the asset test to qualify for a Medicare Savings Program was eliminated. This means individuals can have any amount of assets and still qualify for a Medicare Savings Program. Assets are things that you own, such as bank accounts, cash, second homes and vehicles.
Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.
QMB is better. Pays for copays, coinsurance, and premiums A+B. SLMB just pays the part B premium.