Benefits Roster - 2011 Eligibility
Benefit | One Person | Two People | Description | |
|---|---|---|---|---|
SNAP (formerly Food Stamps) | Income Assets | see Description box | see Description box | Gross income limit is 130 percent of federal poverty level. There are exemptions to this income limit. |
MEAP (Maryland Energy Assistance Program) | Income Assets | $1,588.12 No asset test | $2,145.20 No asset test | Provides eligible low-income Marylanders assistance with home heating bills. |
EUSP (Electric Universal Service Program) | Income Assets | $1,588.12 No asset test | $2,145.20 No asset test | Provides eligible low-income Marylanders assistance with electric bills. |
Medical Assistance | Income Assets | $350 | $392 | Income above these levels results in spend-down. Requires documentation of disability. Excludable assets: |
QMB | Income Assets | $928* $8,180 | $1,246* $13,020 | *(Apply $20/month income disregard). Pays Part A & B premiums, co-payments |
SLMB | Income Assets | I. $928 - 1,109* II. $1,110 - 1,246* $8,180 | I. $1,246-1,491 * II.$1,492-1,675* $13,020 | Similar to QMB but pays only |
Maryland Primary Adult Care Program (PAC) | Income Assets | $1,053/month* No asset test | $1,422/month* No asset test | *(After applying disregards and exclusions) For Marylanders ages 19-64 who do not qualify for Medicare. Provides free primary care doctor visits, free mental health visits, and low-cost or free prescription drugs. |
SSI (Supplemental Security Income) | Income Assets | $674* | $1,011* | *(Apply $20 /month disregard.) M/A eligibility automatic. Compassionate Allowance for individuals with early-onset Alzheimers, FTD, Picks disease, Creutzfeldt-Jakob, mixed dementia and primary progressive aphasia. |
Medicaid Waiver for Older Adults Program | Income | $2,022 | N/A | Assists with payment of services in the home or in assisted living; must be age 50+, assessed at nursing home level of care, and meet M/A institutional eligibility rules. |
Income Assets | $13,613/ year No Test | $18,388/ year No Test | Employment for low income, age 55+. No assets test. Effective 2/11. | |
Income | $2,637 | $3,448 | Case-managed, in-home services, age 65+. At risk of admission to nursing home. Effective 7/10. | |
Income Assets | $1,361 | $1,839 | Assistance with emergency or one-time needs. Effective 2/11. | |
Income Assets | $2,637 $11,000 | $3,448 | Assisted Living Group Home Subsidy; age 62 or older. Effective 6/10. Will pay $650 toward cost of facility. | |
Income Assets | $2,637 | $3,448 | Financial assistance for support services in selected senior housing sites; age 62+. Effective 6/10. | |
Senior Prescription Drug Assistance Program (SPDAP) | Income Assets | $2,723/mo No asset limit | $3,678/mo No asset limit | Pays up to $35 toward the monthly premium for certain Medicare Prescription Drug Plan chosen by the individual and up to $1,200 in the gap (donut hole). Not all plans are participating in the donut hole subsidy. |
MEDICARE PART D - EXTRA HELP | Income Assets Income | $908/mo $8,180** $1,225/mo $12,510** $12,510** | $1,226/mo $13,020** $1,655/mo $25,260** $1,839/mo $25,260** | Benefits help with premiums, deductibles, and co-pays. **House and car not counted as assets/resources. |
Accessible Homes for Seniors | Income Assets | $3,836/mo No asset test | $4,384 No asset test | A deferred loan with zero percent interest for a term up to 30 years to finance accessibility improvements such as ramps, railings, widening of doors, etc. Age 55 and older. |
Income
| $19,736
| $23,396
| Personal care assistance for Vets who are homebound. Both in home & assisted living. Vet must have 90+ days active duty, 1 day during time of war. | |
Employed Individuals with Disabilities (EID) | Income Assets | Countable income up to $2,722 | Countable income up to $3,677 | Health Insurance for qualified employed persons age 18-64. May be on private health insurance or Medicare. Participant pays up to $55 monthly premium. |
Weatherization Assistance Program (WAP) | Income Assets | $2,520 No asset test | $3,296 No asset test | Installation of energy conserving materials: insulation, furnace cleaning, hot water system improvement, etc. |
Adult Day Care: Medical Assistance Reimbursement - $71.08 (Effective 7/2011)
2011 Federal Poverty Guidelines*
100% of Poverty Level | |
1 Person: | $908/month ($10,890/yr) |
|---|---|
2 People: | $1,226/month ($14,710/yr) |
3 People: | $1,544/month ($18,530/yr) |
4 people: | $1,863/month ($22,350/yr) |
125% of Poverty Level | 150% of Poverty Level | |
1 Person: | $1,134/month ($13,613/yr) | $1,361/month ($16,335/yr) |
|---|---|---|
2 People | $1,532/month ($18,388yr) | $1,839/month ($22,065/yr) |
3 People | $1,930/month ($23,163/yr) | $2,316/month ($27,795/yr) |
4 People | $2,328/month ($27,938yr) | $2,794/month ($33,525/yr) |
*Figures are rounded out to nearest dollar amount.
Medicare 2012
Medicare Part A
Monthly Premium: If you worked 40 or more quarters, generally there is no Part A premium.
If you worked less quarters, you pay a premium of $451/mo for 0 - 29 quarters; you pay $248/mo for 0 - 39 quarters.
Hospital Deductible: You pay $1,156 per benefit period (Medicare pays for benefit period of 60 days.)
Coinsurance: You pay $289 per day co-payment for days 61-90.
Coinsurance: You pay $578 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):
- $0 for days 1 - 20 per benefit period
- You pay $144.50 per day (per benefit period) for days 21-100
- No coverage is provided for custodial or intermediate Nursing Home care.
Medicare Part B
Deductible: You pay $140 per year.
Co-Payment: You pay 20 percent co-payment for Medicare-approved charges.
Monthly Premium: You pay $96.40 for most. You pay $99.90 if new to Medicare and income is under $85,000 for individual and $170,000 for a couple. For all others, refer to the table below:
Beneficiaries who file an individual tax return with income: | Beneficiaries who file a joint tax return with income | Monthly premium |
|---|---|---|
$85,000 or below | $170,000 or below | $139.90 |
$85,001 to $107,000 | $170,001 to $214,000 | $199.80 |
$107,001 to $160,000 | $214,001 to $320,000 | $259.70 |
$160,001 to $214,000 | $320,001 to $428,000 | $319.70 |
Part D Medicare Prescription Drug Program: You pay a deductible up to $320 in 2012.
Spousal Impoverishment Standards
All non-exempt assets (savings and checking accounts, stocks, bonds, etc.) owned by either spouse, jointly or separately, are pooled as of date the nursing home spouse enters the nursing home. Effective 1/1/09, the community spouse may keep $21,912 or half the assets, whichever is greater but not more than $109,560. The couple's remaining assets are used to pay for nursing home care or other expenses, until the nursing home spouse's assets reach the Medicaid eligibility level of $2,500. The community spouse's income will be evaluated to determine how much, if any, of the nursing home spouse's monthly income can be allowed for the community spouse's monthly maintenance allowance.
Resources for Community Spouse
- Half of the assets up to a Maximum Spousal Share of $109,560
- Minimum Spousal Share $21,912
Income for Community Spouse
- Basic Maintenance & Shelter Allowance $1,822
- Excess Shelter Standard $546
- Maximum Maintenance & Shelter Allowance $2,739
(Sum of Basic Maintenance & Shelter Allowance and Excess Shelter Allowance)
Utility Standards for Community Spouse
- Heat included in rent $250
- Heat paid separately from housing $414
Call Maryland Access Point at 410-887-2594 for additional information.
Revised December 14, 2011
