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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |114 Effective Month: September 2018 ENTITLEMENT TO MEDICARE PART B PART B – Supplemental Medical Insurance or SMI Everyone with Part B has a premium payable Part B pays for: Physician services Certain drugs Outpatient services Other Entitlement is either: -Based on premium-free Part A, or -Based on attaining age 65 and being a citizen or lawfully admitted for permanent residence (LAPR) who has lived in the U.S. for 5 years. ENTITLEMENT TO MEDICARE PART A PART A – Hospital Insurance or HI Insured individuals have premium free Part A; all others must pay a premium Part A pays for: Inpatient hospital Hospice Home Health Skilled Nursing Services Entitlement is for: -Insured individuals who have worked the required Quarters of Coverage (QC’s) and are age 65 or over. • Includes the age 65 or over spouse as long as the insured is age 62 or over, • Under certain conditions, includes the divorced spouse of an insured if the marriage lasted 10 years, • Includes certain disabled adult children with an insured parent (living or not). -Partially insured age 65 or over individuals who have less than the required QC’s but are eligible for a reduced premium. -Uninsured individuals age 65 or over can get Part A by paying the premium. Must be a U.S. citizen or LAPR (same as Part B).