1610.45.10 MEDICARE BUY-IN PROGRAM BENEFITS

Official source

Table 1. Medicare Savings Program Aid Categories Aid Category in IED Benefit Name/Package Minimum Federal Income Limit Indiana’s Income Limit (more generous in most cases) Income Disregard Benefit Can Co- Exist with Full Medicaid category (Full Dual)? Comments MA L Qualified Medicare Beneficiary, QMB 100% FPL 150% FPL $20 general income disregard, $65 + ½ earned income disregard (example: earns $1,065 from a job, we deduct $65 and ½ of the income, and count only $500 of the earned income) Pays Part A & B premiums, coinsurance, and deductibles Yes MA L/QMB can be open along with full Medicaid or can be open alone (partial dual). MA J Specified Low- Income Medicare Beneficiary, SLMB 120% FPL 170% FPL $20 general income disregard, $65 + ½ earned income disregard (example: earns $1,065 from a job, we deduct Pays Part B premiums only Yes MA J/SMLB can be open along with full Medicaid or can be open alone (partial dual). $65 and ½ of the income, and count only $500 of the earned income) MA I Qualified Individual, QI 135% FPL 185% FPL Note: SSA COLA increases go into effect Jan. 1 of each year; we ignore the increase in Social Security income until new FPL amounts go into effect in March 1 of each year. Pays Part B premiums only No All MA I/QI members are partial duals only MA G Qualified Disabled & Working Individuals, QDWI 200% FPL 200% FPL Note: SSA COLA increases go into effect Jan. 1 of each year; we ignore the increase in Social Security income until new FPL amounts go into Pays Part A premiums only No All MA G/QDWI members are partial duals only effect in March 1 of each year.

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1610.45.10 MEDICARE BUY-IN PROGRAM BENEFITS

Official source

Table 1. Medicare Savings Program Aid Categories Aid Category in IED Benefit Name/Package Minimum Federal Income Limit Indiana’s Income Limit (more generous in most cases) Income Disregard Benefit Can Co- Exist with Full Medicaid category (Full Dual)? Comments MA L Qualified Medicare Beneficiary, QMB 100% FPL 150% FPL $20 general income disregard, $65 + ½ earned income disregard (example: earns $1,065 from a job, we deduct $65 and ½ of the income, and count only $500 of the earned income) Pays Part A & B premiums, coinsurance, and deductibles Yes MA L/QMB can be open along with full Medicaid or can be open alone (partial dual). MA J Specified Low- Income Medicare Beneficiary, SLMB 120% FPL 170% FPL $20 general income disregard, $65 + ½ earned income disregard (example: earns $1,065 from a job, we deduct Pays Part B premiums only Yes MA J/SMLB can be open along with full Medicaid or can be open alone (partial dual). $65 and ½ of the income, and count only $500 of the earned income) MA I Qualified Individual, QI 135% FPL 185% FPL Note: SSA COLA increases go into effect Jan. 1 of each year; we ignore the increase in Social Security income until new FPL amounts go into effect in March 1 of each year. Pays Part B premiums only No All MA I/QI members are partial duals only MA G Qualified Disabled & Working Individuals, QDWI 200% FPL 200% FPL Note: SSA COLA increases go into effect Jan. 1 of each year; we ignore the increase in Social Security income until new FPL amounts go into Pays Part A premiums only No All MA G/QDWI members are partial duals only effect in March 1 of each year.