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MRG UPDATED: JUNE 2011 73 CATEGORICAL FACTORS MEDICARE SAVINGS PROGRAM Policy: Certain A/Rs who receive Medicare may be eligible for Medicaid to pay the Medicare premium, coinsurance and deductible amounts. References: SSL Sect. 366 366-ee 367-a(3)a ADMs 11 OHIP/ADM-2 10 OHIP/ADM-05 10 OHIP/ADM-3 10 OHIP/ADM-01 INFs 10 OHIP/INF-3 GISs 09 MA/027 08 MA/ 016 05 MA/033 05 MA/013 Interpretation: There are four groups that are eligible for payment or part-payment of Medicare premiums, coinsurance and deductibles, through the Medicare Savings Program. Qualified Medicare Beneficiaries (QMBs) The A/R must: 1. be entitled to benefits under Part A of Medicare; and 2. have income equal to or less than 100% of the federal poverty level. If the A/R meets the above criteria, s/he is eligible for Medicaid payment of the Medicare Part A and B premiums, coinsurance and deductible amounts. Specified Low-Income Medicare Beneficiaries (SLIMBs) The A/R must: 1. have Part A of Medicare; and 2. have income greater than 100% but less than 120% of the federal poverty level.