The Florida Medicare Savings Program is a government-funded program that helps people pay their Medicare health insurance premiums. It also pays for other costs that depend on individual income. Cost-sharing includes out-of-pocket payments, self-financed benefits, and fixed payments for administering certain medications. The savings program helps with three different parts:
· Part A, which concerns inpatient hospital care.
· Part B includes outpatient services and visits to doctors.
· Part D, which covers the prescription drug plan. There are other parts of savings programs that private companies provide. They provide these services at a cost set by the government. The programs include:
A person who qualifies for Part A may qualify for the Medicare Savings Programs.
The eligibility criteria for Part A include:
· Seniors 65 and older.
· An individual receiving pension benefits
· People with disabilities
· Patients with terminal kidney disease
· Amyotrophic Lateral sclerosis (ALS) patients.
· US Citizens / Legal Immigrants
Medicare savings programs have four levels, based on a person's income and resources:
· QMB - Qualified Medicare Beneficiary
· SLMB - Specified Low-income Medicare Beneficiary
· QI1 - Qualified Individual Program
· QDWI - Qualified disabled and working Individuals
We'll look at all of those below in more detail.
Your eligibility for each program will depend on your income and available resources. Here are the resources that count toward your limits.
· Current checking account and savings account
Some resources don't count when determining income and resource levels. They include:
· The primary home and vehicle
· Funeral plot and costs up to $1,500
· Furniture and household items
· Money held in your hand is not counted for nine months. Examples of holding money are tax advances and housing allowances.
This is a program that pays health premiums for people with limited income and resources. It covers Part A and B premiums, out-of-pocket deductible expenses, co-insurance, and co-payments.
· A person who qualifies for Medicare Part A
· A Florida resident
· A US citizen or immigrant with residency status
· 2023 - An individual whose monthly income is less than $1,235, or $1,663 for couples
· 2023 - Assets of USD $9090 or less for an individual or USD $13,630 for a couple
How to apply for QMB Program in Florida
· The easiest way is to call us at 888-997-5204 and have us help.
· You can otherwise visit the local Department of Child and Family Services DCF office. Most offices are currently closed due to covid.
What to do if you have QMB benefits, and the hospital charges you.
· Make sure your doctor knows you are in the program.
· Find out if your doctor accepts Medicare.
· Contact the Customer Relations Department if the billing persists.
· If you are not getting help, call your local Legal Aid to see if he/she can help.
SLMB is a government-funded program that helps low-income citizens pay for Part B premiums.
· Those who qualify for the medical part A
· Those with limited monthly sources of income and resources. The income requirements are $1,478 monthly income for singles and $1,992 for the married. It also defines the asset limit as $9,090 worth of singles' resources and $13,630 for couples .
· It pays Part B premiums.
· Automatic Extra Help (Low Income Subsidy for prescriptions).
· The easiest way is to call us at 888-997-5204 and have us help.
Or, the procedure is like the application process for QMB.
This program helps state residents reduce payments for Part B premiums. When Clients apply for QI1 benefits, they receive them on a first-come-first-service basis. Those who received benefits in the previous year also come first.
· Those with Part A coverage and those eligible for Part A
· Singles with a monthly income of $1,660 and couples $2,239
· Singles whose annual asset limit is $9,090 and couples with an $13,630 asset limit.
QI1 medical benefits
· It pays Part B premiums.
· Automatic extra help
How to apply for QI in Florida
The application process is like the process in QMB above. Or for the easiest way, call us at 888-997-5204 and we will help you.
It helps the working class living with disabilities and under 65 years old to pay their Part A premiums.
A person who works under 65 and lives with a disability
Anyone Who has lost the non-contributory part A after resuming work
Anyone who does not receive medical help from the state
Must have lost SSDI due to employment.
Reduces the cost of inpatient services.
You can apply for this program by visiting your local Medicaid office.
QDWI is renewable every year. The local Medicaid office will send renewal notices by email, reminding recipients to renew.
This program is a federally-funded program that reduces the cost of out-of-pocket prescription drugs. It is also known as a Low Income Subsidy (LIS). Extra help has two categories, full extra help, and partial help. Full extra help covers Individuals with monthly incomes equal to or less than $1,705 for singles and $2,307 for couples.
It covers prescription costs, deductibles, and co-insurance. It can also cover Part D penalties.
· Single people whose monthly income is less than $1,705, and less than $2,307 for couples. They should also have a wealth limit of $15,510 or less for singles and $30,950 or less for couples.
· It Reduces the cost of prescription drugs.
· It Clears the penalty for Part D caused by late registration.
· Call us for help at 888-997-5204.
Copyright 2024 Florida Family Benefit , all rights reserved.
Calling the phone number on this website will direct you to a licensed Florida insurance agent.
FloridaFamilyBenefit.com agents are licensed in the state of Florida, live in the state of Florida, and are not affiliated with or endorsed by the state of Florida, Florida Medicaid, the federal government, or federal Medicare program. Regarding Medicare Advantage and prescription drug plans in some counties: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE to get information on all of your options. Plans are insured or covered by a Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations, exclusions, copays, deductibles, and coinsurance may apply. Part B Premium give-back is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction varies.
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