Summary of Public Benefits

2015 MEDICARE SAVINGS PROGRAMS

INCOME AND ASSET LEVELS TO QUALIFY

Apply online access.arkansas.gov

 

 

Monthly Income

Assets

Receives Card

Retroactive entitlement?

QI-1 = Qualifying Individual

Up to 135% FPL

 

 

No

Yes, 3 months prior to application

Single

$1,324.13

$7,280

 

 

Couple

$1,792.13

$10,930

 

 

SLMB = Specified Low Income Beneficiary

Up to 120% FPL

 

 

No

Yes, 3 months prior to application

Single

$1,177.00

$7,280

 

 

Couple

$1,593.00

$10,930

 

 

QMB = Qualified Medicare Beneficiary

Up to 100% FPL

 

 

Yes, QMB card

No

Single

$980.83

$7,280

 

 

Couple

$1,327.50

$10,930

 

 

AR Seniors

 

 

Yes, Medicaid card

Yes, 3 months prior to application

Single

$784.66

$7,280

 

 

Couple

$1,062.00

$10,930

 

 

Liquid assets= Cash, savings, CD’s 401K’s, stocks, and bonds count as assets.  Primary home, car, and household goods do not count as assets.

 


 THE MEDICARE SAVINGS PROGRAMS PAY:

 

Full Medicaid Benefits

Part B Late

Enrollment Penalty

Part B

Premium

Part B

Coinsurance

Part A & B

Deductible

Part A

Copayments

AR Seniors

X

X

X

X

X

X

QMB

 

X

X

X

X

X

SLMB & QI-1

 

X

X

 

 

 

Rev. 4.1.15



2015 EXTRA HELP PROGRAM

INCOME AND ASSET LEVELS TO QUALIFY

Apply online www.ssa.gov/prescriptionhelp