To qualify for SLMB
assistance, a person must meet the following requirements:
The income limits for the QMB, SLMB
, and QI programs are 100%, 120%, and 135% of the FPL, respectively, and the resource limits for all of the programs are $4,000 for singles and $6,000 for couples.
For this reason, HCFA mounted a massive outreach effort to inform older Americans of the availability of the SLMB
benefit and to encourage those eligible to enroll.
Again, rules may vary from state to state, but in general terms, to qualify for SLMB
assistance you must meet requirements one and two listed under the QMB section.
If a person does not qualify for QMB assistance because his income is too high, he may be able to get help under the SLMB
, QMB), which can be very useful when investigating questions related to access to care.
Beneficiaries between 73 and 100 percent of the FPL are considered QMB eligible, while individuals between 100 and 120 of the FPL are considered SLMB
Concerns about low participation by eligible persons, which have focused primarily on the experience of the newer QMB and SLMB
programs, have drawn attention to states' outreach and application procedures (Nemore 1999; Families USA 1993).
Beneficiaries may be approved for Medicaid, QMB, or SLMB
status several months before the data are entered into the CMS system and available to the M+C plans.
The article summarizes the origin of the QMB and SLMB
programs, describes what we have learned about QMB and SLMB
enrollment in state Medicaid programs and, despite some encouraging news on the federal front, identifies policy issues that remain in assuring access to health care for the low-income elderly.
, state Medicaid programs pay for Part B premiums for enrolled beneficiaries with income between 100 percent and 120 percent of poverty.
As important as QMB, SLMB
, and QI are, unlike regular Medicaid they do not cover prescription drugs.