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Wisconsin Department of Health and Family Services Obsolete Medicaid Eligibility Handbook For the current MEH, see http://www.emhandbooks.wi.gov/meh-ebd/ For the current BC Plus Handbook, see http://www.emhandbooks.wi.gov/bcplus/ |
5.14.1.1 Medicare Beneficiaries
Medicare is the health insurance program administered by the federal Centers for Medicare & Medicaid Services (CMS) for people over 65 and for certain younger disabled people.
Medicare is divided into two types of health coverage. Hospitalization Insurance ( Part A ) pays hospital bills and certain skilled nursing facility expenses. Medical Insurance ( Part B ) pays doctors' bills and certain other charges.
Medicare, being an insurance program, charges premiums. For the persons participating in the programs described below, Wisconsin Medicaid pays some or all of their Medicare premiums. This is called Medicare Buy-In. The persons who qualify for Medicare Buy-In are called Medicare Beneficiaries.
Use the same rules for determining financial eligibility as you do for Elderly, Blind, Disabled ( EBD ) MA.
Qualified Medicare Beneficiary ( QMB ).
Specified Low-Income Medicare Beneficiary ( SLMB ).
Specified Low-Income Medicare Beneficiary Plus ( SLMB+ ), also known as Qualifying Individuals – 1 ( QI-1 ).
Qualified Disabled and Working Individuals ( QDWI ).
If a client is also eligible for MA, they will receive a Forward card. The Forward card will indicate that they are Medicare Beneficiaries.
Clients eligible for QMB will receive a forward card even if s/he is not eligible for any other subprograms of MA.
This page last updated in Release Number : 03-02
Release Date : 04/01/03
Effective Date : 04/01/03