Page 2

c. Three months after the month of the 65th birthday or 25th month of disability benefits receipt. and 2. The general/open enrollment period: every January, February and March. NOTE: MSP clients can enroll in Medicare outside the open enrollment period. They are automatically enrolled in Medicare Part B when an MSP is approved. QMB clients are automatically enrolled in both Part A and Part B (if they do not qualify for free Part A). MEDICARE PART A BENEFITS: Medicare Part A coverage includes inpatient hospitalization, some follow- up care, and skilled level nursing home care. MEDICARE PART B BENEFITS: Medicare Part B coverage includes physician services, laboratory and x-ray services, medical supplies, outpatient hospital care, and other services. MSP PROGRAM BENEFITS: QMB benefits include payment of: 1. Medicare Part A premiums (for individuals who do not receive premium-free Part A coverage); 2. Medicare Part B premiums; 3. Medicare deductibles; and 4. Medicare coinsurance (the cost share amount the recipient is responsible to pay). SLMB and QI pay only Medicare Part B premiums. NOTE: Because SLMB and QI only pay Medicare Part B premiums, no Medicaid ID card is issued. HOUSEHOLD COMPOSITION: Evaluate each MSP applicant’s living situation to determine the correct household composition, assistance, and filing units. Treat the following as individuals: 1. Married individual living separately in the community. 2. Married living separately because one spouse is in Assisted Living. 3. Couple with both spouses residing in nursing homes, even if they share a room at the nursing home.

Treat the following as a couple: 1. Married living together in the community.