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An individual can be simultaneously eligible for QMB and any other full coverage MA. 1610.35.00 SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (MED 4) This category is identified in IEDSS as MA J.

To be eligible in this category, an individual must be entitled to Medicare Part A.8 There is no other blindness or disability requirement for the Specified Low-Income Medicare Beneficiary (SLMB) category.

Medicaid coverage under SLMB is limited to payment of the Medicare Part B premium.9

An individual can be simultaneously eligible for SLMB and any other full coverage MA category. 1610.40.00 QUALIFIED DISABLED WORKER (MED 4) This category is identified in IEDSS as MA G.

To be eligible in this category, an individual must have lost or will lose premium-free Medicare Part A coverage due to his employment status.10

Medicaid coverage under this category is limited to payment of the monthly premium for Medicare Part A.11

An individual is not eligible under this category if they are eligible for Medicaid under any other category. 1610.45.00 QUALIFIED INDIVIDUALS (MED 4) This category is identified in IEDSS as MA I.

To be eligible in this category, an individual must be entitled to Medicare Part A.12 There is a cap amount for QIs each year.

MA I pay the Medicare Part B premium.13

An individual eligible under any other Medicaid category cannot be eligible as a QI.

1610.45.10 MEDICARE BUY-IN PROGRAM BENEFITS

Table 1. Medicare Savings Program Aid Categories