2671.5 Benefits

Medical coverage for QMB only eligibles is limited to payment of Medicare Part A and Part B premium, deductibles and co-insurance. This applies to Medicare covered services and items covered by Medicaid and those which are not covered by Medicaid. Because of this, it is necessary to complete a QMB determination on persons eligible for full Medicaid coverage. QMB eligibles are subject to Medicaid copay requirements, unless otherwise exempt. QMB coverage is designated on the medical identification card.