Q:

Do you receive special discounts if you join the Medicare QMB program?

A:

Quick Answer

Those who qualify for the Medicare QMB program receive discounts for both Part A and B premiums and help with deductibles, coinsurance and copayments. Recipients on this program pay no coinsurance or copayment when using doctors who accept Medicare or Medicaid or who are within their Medicare Advantage plan's network.

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Full Answer

Individuals with monthly incomes below $1,001 and resources below $7,820 qualify for the Medicare Qualified Medicare Beneficiary program. Married couples must fall below $1,348 in income and $10,930 in resources. Some may qualify even if income and resources are above these limits, depending on other circumstances determined by Medicare at the time of application. In some instances, Medicare also provides help with prescription costs for those who receive Medicaid, get help with Medicare Part B or receive SSI benefits.

Individuals with income and resources below $1,197 and $7,820 respectively and couples with incomes and resources below $1,613 and $10,930 respectively may qualify for the Specified Low-Income Medicare Beneficiary program, which pays for Medicare Part B only. Additionally, the Qualifying Individual program provides discounts on Medicare Part B on a first-come-first-served basis for those with higher incomes. The limits for individuals in the QI program sit at $1,345 in income and $7,820 in resources, while couples can have $1,813 in income and $10,930 in resources.

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