What if I can’t afford the Part B – Doctor Visit Premium

of $144/month?

Medicare Savings Program

 

msp medicare savings program - pay part b premium

 

Medicare Savings Programs (MSP’s)
Medicare.Gov

 

Categories of dual eligible beneficiaries
and out-of-pocket costs that must be paid by Medi-Cal – Medicaid:

Ca Health Advocates.org (SHIP – HI Cap)

  1. Qualified Medicare Beneficiary (QMB)
    1. Medicare Part A and Part B premiums; ♦ cost sharing for Part A & Part B benefits.
    2. QMB Plus – Medicare Part A and Part B premiums; cost sharing for Part A & Part B benefits; Full Medicaid benefits.
  2. Specified Low-Income Medicare Beneficiary (SLMB)
    1.  Medicare Part B premium.
    2. SLMB Plus – Medicare Part B premium; Full Medicaid benefits.
    3.  
  3. Qualified Individual (QI)  
    1.  Medicare Part B premium.
  4. Qualified Disabled Working Individual (QDWI)
    1. QDWI (Qualified Disabled & Working Individual) – Part A premium. (AHIP Training * Medicare & You * CA Health Advocates)
  5. Other FBDE (Full Benefit Dual Eligible) – Medicare Part B premium; Full Medicaid benefits.
  6. 250% California Working Disabled (CWD) *  Evidence of Coverage Page 26 *

 

How to Apply
Click here for instructions

ONLINE California Medi-Cal Enrollment

 

Disability Benefits 101

medi helper.com They can help you qualify… they do charge a fee based on the complexity of the case. Free Intake – Assessment Form

Protecting Dual Eligibles from Balance Billing – Justice in Aging.com Power Point

True Freedom Plans

"Prepaid Home Health Care?"

Watch 3 minute simple plain English Video

 

Email us for more information  [email protected]

Resources & Related Pages

ca health advocates.org/qualification-at-a-glance

(Our Website for MAGI based qualification under 65

MediCal Resources.org) If you would be on Medi-Medi – Cal MediConnect – Cal Duals (our website)

Learn more on categories of dual eligibles whose out of pocket costs are paid by Medi-Cal

4 programs that can help pay Medical Expenses Publication # 11445

Publication 10126 Getting Help with Medicare Costs

What if you no longer qualify for Extra Help Publication # 11215

Medi Helper.com They can help you qualify… they do charge a fee based on the complexity of the case.

2 page assessment form

Medi-Cal Estate Recovery

Medi Medi – Medi-Cal & Medicare, Together Medicaid (Medi-Cal) Getting Started Publication # 11409

Medicare Part A Hospital & B Doctor Visits Eligibility & Premium Calculator

Seminar Notes

Share of Cost

Full Medi-Cal – pays Part A

Dual Demonstration Project – Cal Medi Connect

Can get MAPD too – stability, committement, qualify products – quality medical groups –

Plan 1 all UHC

Plan 2 – Health Care Partners – lower co pays

Plan 3 transportation, full network, ancillary benefits look a like plan, includes transportation

How to verify between Cal Medi Connect shows pcp and Medi-Cal Plan – no MD show

Show MAPD card, then don’t have to show Medi-Cal card

Medi-Cal picks up co pays

Continuous SEP

Share of Cost vs Fully qualified

Can no longer dual SNP – look a like plans are OK

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