What if I can’t afford the Part B – Doctor Visit Premium
of $148/month?
Medicare Savings Program
Medicare Premium Payment Buy In Program
Check out the programs below to pay or help pay for your Medicare Part B Doctor visits premium of $148/month.
Medicare Savings Programs (MSPs)
Qualification at a Glance 2020
| Program/Benefits | Income Limits | Asset Limits |
|---|---|---|
Qualified Medicare Beneficiary (QMB)
|
Single: $1,074/mo., $12,880/yr.* Couple: $1,452/mo., $17,420/yr.* |
Single: $7,970 / Couple: $11,960
Assets exclude: one home, household goods and personal belongings, one car, and prepaid burial plan (unlimited if irrevocable or up to $1,500 if revocable) and burial plot |
Specified Low-Income Medicare Beneficiary (SLMB)
|
Single: $1,288/mo., $15,456/yr.* Couple: $1,742/mo., $20,904/yr.* |
Single: $7,970 / Couple: $11,960
Assets exclude: one home, household goods and personal belongings, one car, and prepaid burial plan (unlimited if irrevocable or up to $1,500 if revocable) and burial plot |
Qualified Individual (QI)
|
Single: $1,449/mo., $17,338/yr.* Couple: $1,960/mo., $23,517/yr.* |
Single: $7,970 / Couple: $11,960
Assets exclude: one home, household goods and personal belongings, one car, and prepaid burial plan (unlimited if irrevocable or up to $1,500 if revocable) and burial plot |
Qualified Disabled Working Individual (QDWI)
|
Single: $4,379/mo. Couple: $5,892/mo. |
Single: $4,000 / Couple: $6,000
Assets exclude: one home, household goods and personal belongings, one car, and prepaid burial plan (unlimited if irrevocable or up to $1,500 if revocable) and burial plot |
250% California Working Disabled (CWD)
|
Single: $2,684/mo.* Couple: $3,630/mo.* Income excludes disability benefits |
Single: $2,000 / Couple: $3,000
Other exclusions apply |
* Income figures do not include a $20 disregard, in which $20 is subtracted from your monthly income (earned or unearned).
Medicare Savings Programs (MSP’s)
How to Apply
Click here for instructions
ONLINE California Medi-Cal Enrollment
medi helper.com They can help you qualify… they do charge a fee based on the complexity of the case. Free Intake – Assessment Form
Protecting Dual Eligibles from Balance Billing – Justice in Aging.com Power Point
SSI-Related Programs & Coverage Groups
Income & Assets Chart
Our web pages on:
- Aged and Disabled Federal Poverty Level Program
- Part D Rx Low Income Subsidy – LIS – Extra Help
- Hospice Coverage – Medicare
#Medicare10050 and You 2021
Everything you want to know - Read Along
Your Medicare Benefits # 10116
- Enroll in Blue Cross
- Learn about UHC United Health Care
- Enroll in Blue Shield
- Don't like computers? Prefer a printed version be mailed to you? Audio MP 3
- Use our scheduler to Set a phone, Skype or Face to Face meeting
#My Medi-Cal
How to get the Health Care You Need
24 pages
Smart Phones - try turning sideways to view pdf better
- Medi Cal Explained CHCF
- 10 Essential Health Benefits
- Our Webpage onMedi Cal Benefits
- Western Poverty Law - Exact Legal Rules on Coverage for Low Income Californian's
Nolo Social Security, Medicare, Medi Cal & Government Pensions
Our Webpage on
COVID 19
True #Freedom Plans
"Prepaid Home Health Care?"
Watch 3 minute simple plain English Video
- Email us for more information [email protected]
- Our webpage on Long Term & Home Health Care
- Our webpage on True Freedom
Resources & Related Pages
ca health advocates.org/qualification-at-a-glance
(Our Website for MAGI based qualification under 65
♦ MediCal Resources.org) If you would be on Medi-Medi – Cal MediConnect – Cal Duals (our website)
Learn more on categories of dual eligibles whose out of pocket costs are paid by Medi-Cal
4 programs that can help pay Medical Expenses Publication # 11445
Publication 10126 Getting Help with Medicare Costs
What if you no longer qualify for Extra Help Publication # 11215
Medi Helper.com They can help you qualify… they do charge a fee based on the complexity of the case.
Medi-Cal Estate Recovery
- Low Income Subsidy – LIS
- Limited Income – Resources
- Rx Assistance from Manufacturer
Medi Medi – Medi-Cal & Medicare, Together Medicaid (Medi-Cal) Getting Started Publication # 11409
- Social Security Disability – SSI, SSDI
- Publications – SSDI, SSI
- Questions from Website Visitors
- SSI – Supplemental Security Benefits
Medicare Part A Hospital & B Doctor Visits Eligibility & Premium Calculator
#Understanding Medicare Advantage Plans (PDF) #12026
Insurance Companies get a fee from the Federal Government, when you enroll in an MAPD plan.
That's why the premium is very low or ZERO!
- Set a phone or Skype Meeting
- #Intake Form - We can better prepare for the meeting
- Get Quotes, Full Information and Enroll
Seminar Notes
Share of Cost
Full Medi-Cal – pays Part A
Dual Demonstration Project – Cal Medi Connect
Can get MAPD too – stability, committement, qualify products – quality medical groups –
Plan 1 all UHC
Plan 2 – Health Care Partners – lower co pays
Plan 3 transportation, full network, ancillary benefits look a like plan, includes transportation
How to verify between Cal Medi Connect shows pcp and Medi-Cal Plan – no MD show
Show MAPD card, then don’t have to show Medi-Cal card
Medi-Cal picks up co pays
Continuous SEP
Share of Cost vs Fully qualified
Can no longer dual SNP – look a like plans are OK
I’m turning 65 and thought I was on Medi-Cal and would only have benefits by also getting Medicare.
What’s this that now I have to pay $148/month for Medicare Part B Dr. Visits?
Turns out I had Covered CA Silver 94.
What’s the difference between Covered CA subsidy and enhanced silver programs & Medi Cal?
Here’s a video from Covered CA on the differences
Here’s our webpage on what Medi Cal covers with no premium, including dental and vision
You’re paying the neighborhood of $50/month for your coverage right? No dental or vision, right? Your income is above 138% of Federal Poverty Level, chart right, which puts you into Covered CA subsidies and not Medi-Cal, right?
Excerpt from Income Chart