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Eligibility for Savings on Medicare

Baltimore County Senior Health Insurance Assistance Program (SHIP), Phone: 410-887-2059

Save on Prescription Drug Plan Costs

Maryland Senior Prescription Drug Assistance Program (SPDAP)

Gross Income

Assets

Assistance

What You Need To Do

Under
$35,010 (Single)
$47,190 (Couple)

Not counted

Up to $40 toward the monthly premium and in certain plans beneficiary pays only five percent in the donut hole.

Apply through Maryland Senior Prescription Drug Assistance Program (SPDAP)
Phone: 1-800-551-5995 or visit www.marylandspdap.com

Social Security Administration Extra Help and Low Income Subsidy

Gross Income

Assets

Assistance

What You Need To Do

Under

$17,745 (Single)
$23,832 (Couple)


Under

$13,440 (Single)
$26,860 (Couple)

  • Sliding scale assistance on the monthly premium
  • Deductible $66
  • Drug co-payments: 15 percent or less

(Partial Extra Help)

  • Apply through Social Security: Phone: 1-800-772-1213 or www.ssa.gov
  • Also apply for MDSPDAP
  • May also be eligible for SLMB. For an application call Baltimore County SHIP or the Department of Social Services.

Under

$15,995 (Single)
$21,476 (Couple)


Under

$8,660 (Single)
$13,750 (Couple)

  • No monthly premium
  • No deductible
  • $2.65 generic drug
  • $6.60 brand  name drug

 (Full Extra Help)

  • Apply through Social Security: Phone: 1-800-772-1213 or www.ssa.gov.
  • May also be eligible for QMB or SLMB. For an application call Baltimore County SHIP or the Department of Social Services.

Full Medical Assistance Eligible (red and white card)

Full Medical Assistance Eligible

  • No premium
  • No deductible 
  • $1.20 generic
  • $3.60 name brand
  • Automatically enrolled in Extra Help. Do not apply through Social Security.
  • Medicare premiums, deductibles and co-pays will be paid through the Department of Social Services.

Definitions

  • Assets: House and car not counted as assets or resources.
  • Couple: Defined as married and living together.
  • Wages: deduct $65 from gross wages for each month worked. Divide this amount by 2. This figure is the amount of wages to be used when determining eligibility.  

*2015 Premium Benchmark: $30.61 (For plans below the benchmark, there is no premium)

Department of Social Services (Medicare Savings Programs)

  • Save on Part A, Part B Premiums, Deductibles and Co-Payments
  • Pays for Medicare Monthly Part B Premium

Specified Low-Income Medicare Beneficiary (SLMB)   

Annual and Monthly Gross Income

Resources

What You Need To Do

$15,995 or $1,333 per month (Single)

$21,480 or $1,790 per month (Couple)

$8,660 (Single)

$13,750 (Couple)

For an application call Baltimore County SHIP (410-887-2059) or the Department of Social Services.

Once the application has been processed, the Department of Social Services sends a letter to tell client if he or she is eligible. No card will be received.

Qualified Medicare Beneficiary Program (QMB)

Annual and Monthly Gross Income

Resources

What You Need To Do

$11,916 or $993 per month (Single)
$15,972 or $1,331 per month (Couple)


$8,660 (Single)
$13,750 (Couple)

For an application call Baltimore County SHIP (410-887-2059) or the Department of Social Services.

Once the application has been processed the Department of Social Services sends a letter to tell client if he or she is eligible. If eligible, a gray and white paper card will be received.

  • Pays for Part A and Part B Monthly Premium, Deductibles and Co-Payment.

Note: Wages for QMB or SLMB: Deduct $65 from gross wages for each month worked. Divide this amount by two. This figure is the amount of wages to be used when determining income eligibility.

All QMB or SLMB beneficiaries receive a Case Information Form (CIF) each year to be reviewed and returned so eligibility for continued QMB or SLMB benefits can be determined.
If the form is not returned by the due date, your benefits will end.

Revised December 16, 2014

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