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5.14.12 ADVERSELY AFFECTED

When the State pays a person's Part B premium, his/her Social Security ( SS ) check will increase by the same amount as the premium.  This increase in the SS check may result in the person either losing MA eligibility, or being reduced from categorically needy to medically needy.

 

When a person would be adversely affected in this way, allow him/her to choose between either losing his/her MA current benefits and keeping free Medicare enrollment, or giving up the free Medicare enrollment and keeping his/her MA benefits.  All but 503, DAC’s and widow/widowers can opt out of the QMB buy-in through CARES Client Assistance for Re-employment & Economic Support.  

 

When a 503, DAC Disabled Adult Child, or widow/widower requests to not have the state pay the Part B premium, contact the Buy-In Analyst at 221-4746, extension 3107.  S/he will update MMIS with the appropriate information to prevent the automatic buy-in.

 

 

This page last updated in Release Number: 03-02

Release Date: 04/01/03

Effective Date: 04/01/03