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BEM 165 5 of 10 MEDICARE SAVINGS PROGRAMS BPB 2024-018 7-1-2024
BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
MEDICARE SAVINGS PROGRAMS INQUIRY A person may wish to know whether MA will pay Medicare premi- ums before enrolling in Medicare. The person may even contact the department before reaching age 65 (example, during the three months before the person’s 65th birthday). Advise persons listed under Automatic QMB above that MA will pay their Medicare premium. Do a determination of eligibility for all other persons. In doing this determination: • Explain the nonfinancial eligibility factors. Assume they will be met. • Use current information to determine financial eligibility. Do not ask for verification. • Explain that changes may affect the actual determination of eligibility. Be sure to discuss asset policy thoroughly if the person’s assets exceed the limit. • There is no need for a person to make a separate application or a re-application for an MSP determination. A Health Care Coverage application is used for an MSP only determination. NONFINANCIAL ELIGIBILITY FACTORS
Entitled to Medicare Part A The person must be entitled to Medicare Part A. That means some- thing different for QMB than it does for SLMB and ALMB. Entitled to Medicare Part A for QMB For QMB, entitled to Medicare Part A means the person meets con- dition 1, 2 or 3: 1. Is receiving Medicare Part A with no premium being charged.