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The document is a mail-in application for the Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB) Programs provided by the Maryland Department of Human Resources. It outlines the steps to apply for these benefits, including filling out the application form, providing necessary documentation, and mailing it to the local department of social services. The QMB program covers full Medicare costs for eligible individuals, while the SLMB program pays only the Medicare Part B premium. The document also includes rights and responsibilities of applicants, privacy statements, and instructions for completing the application.

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How do I check my QMB status?

Qualified Medicare Beneficiary Only (QMB) is a Medicaid-funded program that provides financial assistance to cover Medicare Part A and Part B premiums. It also covers Medicare deductibles, coinsurances, and copays. This program does not cover medical supplies.

How long does it take to get approved for QMB?

Obtaining QMB, SLMB, and QI Benefits Eligibility for QMB is effective on the first day of the month following the month in which the Medicaid agency has all the information and verification necessary to determine eligibility. This should not take more than 45 days.

How long does it take to get QMB?

Obtaining QMB, SLMB, and QI Benefits This should not take more than 45 days. SLMB and QI entitlement may be retroactive up to three months prior to the date of application if the person is otherwise eligible.

How do you qualify for Medicare QMB?

y Meet the following income requirements 5 QMB: Net countable income at or below 100% of the Federal Poverty Level (FPL) (at or below $1,074* for a single person, or $1,452* for a couple). 5 SLMB: Net countable income below 120% of the FPL (below $1,288* for a single person, or $1,742* for a couple).

How to apply for QMB in Maryland?

You can request an application for QMB at your local health department, doctors office, or hospital social work department. Applications may be downloaded from the Maryland Department of Health website. You can apply in person or by mailing the application to your local department of social services.

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Can a Medicare provider refuse a QMB patient?

Members can call 1-800-Medicare to verify their QMB status. The state Medicaid program should be able to confirm QMB status. Plan providers can use Medicare eligibility data provided by the HIPAA Eligibility Transaction System (HETS) to verify a patients QMB status and exemption from cost-sharing charges.