Page 3

Age 65 or Older and Individuals with a Disability Coverage Group Benefit FPL 1 2 Qualifications and Special Rules Aged Full MaineCare Benefit 100% $1,330 $1,804 Must be age 65 or older. Asset Limit: $2,000 per individual or $3,000 per couple* Disabled Full MaineCare Benefit 100% $1,330 $1,804 Must have a disabling condition per the criteria of the Social Security Administration (SSA). • Persons who receive Supplement Security Income (SSI) are automatically eligible for MaineCare. • Persons who receive Social Security Disability benefits meet the conditions for disability. • If not receiving SSI or SSA disability benefits, a MaineCare Disability Determination request may be submitted to see if the individual meets the SSA standard of disability. Asset Limit: $2,000 per individual or $3,000 per couple* Working with a Disabling Condition Full MaineCare Benefit 250% $3,325 $4,509 Must be under the age of 65, have a disabling condition per the criteria of the Social Security Administration, and have earnings. A premium up to $20/month may be required. Asset Limit: $8,000 per individual or $12,000 per couple* For more information see: MaineCare for Working People with Disabilities * Up to $8,000 of savings for an individual, $12,000 for a couple may be excluded. Any amount over the excluded amount is counted toward the asset limit.

Medicare Savings Programs (also known as Buy-in) Coverage Group Benefit FPL 1 2 Qualifications and Special Rules QMB Pays Part B monthly premiums, plus Medicare coinsurance and deductibles. May also pay Part A premiums. 185% $2,461 $3,337 Must be entitled to Medicare Part A and B. No asset test. QI Pays Part B monthly premiums 250% $3,325 $4,509 Must be entitled to Medicare Part A and B. Cannot be enrolled in other MaineCare benefits. No asset test.