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Benefits Roster - 2008 Eligibility

Benefit

 One PersonTwo PeopleDescription
Food StampsIncome


Assets
$851 (net income)

$3,000 for all households
$1,141(net income)

$3,000 for all households
A household's first $134/month
is not counted in determining
eligibility; household vehicles
are not counted; there are also
medical and housing deductions.
Effective 10/1/07.

MEAP (Maryland Energy Assistance Program)

Income

Assets

$1,516.65

No asset test

$2,041.65

No asset test

Grant to assist with cost of heating. MEAP payments will be made after 10/1/08. Effective 7/08. MEAP & EUSP
use the same application.

EUSP (Electric Universal Service Program)Income

Assets

$1,516.65

No asset test

$2,041.65

No asset test

Grant to assist with cost of electric bill. Effective 7/08. MEAP & EUSP use the
same application.
Medical AssistanceIncome

Assets
$350

$2,500
$392

$3,000
Income above these levels results in spend-down. Requires documentation of disability. Excludable assets:
house, car & burial plan.
QMB

Income

Assets

$867*

$4,000
$1,167*

$6,000
*(Apply $20/month  income disregard). Pays Part A&B premiums, co-payments
and deductibles for Medicare.
Effective 3/08.
SLMB

Income

.

Assets

I. $868-1,040

II. $1,041-1,170

$4,000

I. $1,168-1,400 *

II.$1,401-1,575*

$6,000

Similar to QMB but pays only
Part B premium; *(Apply  $20/month income disregard). Available to all qualified persons in Group I. First-come/first-served basis to persons in Group II. Effective 3/08.
PAC (Primary Adult Care Program)Income

Assets

$1,005/month*

$4,000

$1,167/month*

$6,000

Free visits to family doctor, outpatient visits to counselor or psychiatrist, assistance with prescription costs. Age 19 and older and not on Medicare. Effective 3/08.
SSI (Supplemental Security Income)Income

Assets
$637*

$2,000
$956*

$3,000
*Apply $20 /month disregard. Automatic enrollment in a 
Medicare Prescription Drug Plan. Effective 1/1/08.
Medicaid Waiver for Older Adults ProgramIncome

Assets
$1,911*

$2,000-$2,500
(Income can be higher if medically needy spending down thru allowable expenditures)
N/AAssists with payment of services received in the home or in assisted living for people age 50 + and assessed at a nursing home level of care. Must meet MA institutional eligibility rules. Effective 1/1/08 (300% SSI level). *Income may be higher if spending down for medical services to the medically needy income limit of $350 per month.
Senior Employment Programs (Title V) 

Income


Assets

$13,000/year
($1084/mos)

No Test

$17,500/ year
($1,459/mos)

No Test

Employment for low income, age 55+. Income guidelines effective 1/08. No assets test.
Senior Care ProgramIncome

Assets
$2,444

$11,000
$3,197

$14,000
Case-managed, in-home services, age 65+. At risk of admission to nursing home. Effective 7/1/08.
Senior Expo Funds (Seniors in Need Fund)Income

Assets
$1,300

$7,000
$1,750

$10,000
Assistance with emergency or one-time needs. Effective 7/08.
Senior Assisted Living Group Home SubsidyIncome

Assets
$2,444

$11,000
$3,197

$14,000
Assisted Living Group Home Subsidy; age 62 or older. Pays $650 toward cost of facility. Effective 7/1/08.
Congregate
Housing Services Program
Income

Assets
$2,444

$27,375
$3,197

$35,587
Financial assistance for support services in selected senior housing sites; age 62+. Effective 7/1/08.

Senior Prescription Drug Assistance Program (SPDAP)

Income


Assets

$2,552.50/mos
($30,630/year)

No asset limit

$3,422.50/mos
($41,070/year)

No asset limit
Pays up to $25 toward the monthly premium for the Medicare Prescription Drug Plan chosen by the individual. Effective 1/08.

EXTRA HELP - Medicare Part D Prescription Drug Program

(Benefits vary depending on income level, assistance may help with cost of premiums, deductibles, and co-pays)

Income

Assets

Income

Assets

Income

Assets

Under $10,400/yr
($867/mos)
$7,790

Under $14,040/yr
($1,170/mos)
$7
,790

Under $15,600/yr
($1,300/mos)
$11,990

Under $14,000/yr
($1,167/mos)
$12,440

Under $18,900/yr
($1,575/mos)
$12,440

Under $21,000/yr
($1,750/mos)
$23,970

 "Dual eligible" with both Medicare and Medical Assistance (Up to 100% Poverty)

(Up to 135% Poverty Level)


(Up to 150% Poverty Level)

Effective 1/08

Maryland MEDBANK Program

Income

Assets

$927

Some companies have asset tests

$1,071

Some companies have asset tests

Pharmaceutical companies participating in the program will provide a 90-day supply of medication to chronically ill, income-qualified persons. Not all drugs are available. Funds are available to assist people in the gap who are on Medicare Part D.

Accessible Homes for Seniors

Income

Assets

$45,976

No asset limit

$52,544

No asset limit

A deferred loan with zero percent interest for a term of 30 years to finance accessibility improvements such as ramps, railings, widening of doors, etc. Age 55 and older. 3/08
Veterans Aid and Attendance Benefit

Income


Assets

$18,654-Veteran
($11,985-Widow)

$80,000

$22,000 Personal care assistance for Vets & spouse or widow who are homebound. Both in home & assisted living. Vet must have 90+ days active duty, 1 day during time of war.

Adult Day Care:   Medical Assistance Reimbursement - $72.91  (Effective 7/1/08)

2008 Federal Poverty Guidelines*

 

100% of Poverty Level           

1 Person: 

$867/month  ($10,400/yr.)

2 People:  

$1,167/month  ($14,000/yr.)

3 People:

$1,467/month  ($17,600/yr.)

4 people:   

$1,767/month  ($21,200/yr)

                                                    
 

125% of Poverty Level

150% of Poverty Level

1 Person:

$1,083/month ($13,000/yr.)

$1,300/month ($15,600/yr.)

2 People

$1,458/month ($17,500/yr.)

$1,750/month ($21,000/yr.)

3 People

$1,833/month ($22,000/yr.)

$2,200/month ($26,400/yr.)

4 People

$2,208/month ($26,500yr.)

$2,650/month ($31,800/yr.)

Median Income-Maryland, Baltimore Region Fiscal Year 2009

        Median Income     

100%80%60%50%30%

1 Person  Yearly

1 Person Monthly

$48,888

$4,074

$39,108

$3,259

$29,328

$2,444

$24,444

$2,037

$14,666

$1,222

2 Persons  Yearly

2 Persons  Monthly

$63,932

$5,328

$51,144

4,262
$38,364

$3,197
$31,966

$2,664

$19,180

$1,598

*Figures are rounded out to nearest dollar amount.

Medicare 2008:

Medicare Part A:  

Hospital Deductible:  You pay $1,024 per benefit period (Medicare pays for benefit period of 60 days).

Coinsurance:  You pay $256 per day co-payment for days 61-90.

Coinsurance:  You pay $512 per day for days 91-150. These are nonrenewable lifetime reserve days.
                       You pay all costs for each day beyond 150 days

Skilled Nursing Facility Coinsurance (after hospital stay of at least 3 consecutive days):
You pay $128 per day (per benefit period) for days 21-100
(days 1-20 are covered in full by Medicare).
You pay all costs after day 100 in the benefit period.
No coverage is provided for custodial or intermediate Nursing Home care.

Medicare Part B:

Deductible:  You pay $135 per year.

Co-Payment:  You pay 20 percent co-payment for Medicare-approved charges.

Monthly Premium:  See table below:

Medicare Part B Premium

Beneficiaries who file an individual tax
return with income:

Beneficiaries who file a joint tax return with income:

Income-related
monthly
adjustment
amount
Total monthly
premium
amount
Less than or equal to $82,000Less than or equal to $164,000$0$96.40
Greater than $82,001 and less than or equal to  $102,000Greater than $164,001 and less than or equal to $204,000$25.80$122.20
Greater than $102,001 and less than or equal to $153,000Greater than $204,001 and less than or equal to $306,000$64.50$160.90
Greater than $153,001 and less than or equal to $205,000Greater than $306,001 and less than or equal to $410,000$103.30$199.70
Greater than $205,000Greater than $410,000$142.00$238.40
Beneficiaries who are married, and live with their spouse at some time during the year, but file a separate tax return from their spouse:Income-related monthly
adjustment amount
Total monthly premium
amount
Less than or equal to $82,000$0$96.40
Greater than $82,000 and less than or equal to $123,000$103.30$199.70
Greater than $123,000$142.00$238.40

Medicare Prescription Drug Program:  You pay a deductible up to $275.

Spousal Impoverishment Standards:

This applies to couples when one spouse begins a continuous period of residence in a nursing home
and subsequently applies for Medicaid. All non-exempt assets (savings and checking accounts, stocks, bonds, etc.)
owned by either spouse, jointly or separately, are pooled as of the date of institutionalization.

The spouse living in the community may keep the amount of the assets as specified below.
The remaining assets are used to pay for nursing home care or other eligible expenses, until
the institutionalized spouse's assets reaches the Medicaid eligibility level of $2,500.  

Resources for Community Spouse

Effective

Half of the assets up to a Maximum Spousal Share of $104,400         

1/1/08

Minimum Spousal Share $20,880

1/1/08

The Commuity Spouse's income will be evaluated to determine how much, if any, of the institutionalized
spouse's monthly income can be allowed for the community spouse's monthly maintenance allowance.
This maintenance allowance will supplement the community spouse's own income up to $1,711
/month.
If shelter expenses exceed $513/month, an additional amount will be allowed. The maximum total allowance
cannot exceed $2,610/month.

Income

Effective

Basic Maintenance & Shelter Allowance $1,711

7/1/07

Excess Shelter Standard $513

7/1/07

Maximum Maintenance & Shelter Allowance $2,610

1/1/08

(Sum of Basic Maintanance & Shelter Allowance and Excess Shelter Allowance)

Utility Standards

Effective

Heat included in rent $197

1/1/07

Heat paid separately from housing $327

1/1/07


Call Senior Information and Assistance at 410-887-2594 for additional information  

Revised August 5, 2008


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