What if I can’t afford the Part B – Doctor Visit Premium
of $144/month?
Medicare Savings 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 (MSP’s)
Medicare.Gov
Categories of dual eligible beneficiaries
and out-of-pocket costs that must be paid by Medi-Cal – Medicaid:
Medicare Savings Programs
Ca Health Advocates.org (SHIP – HI Cap)
- Qualified Medicare Beneficiary (QMB)
- Medicare Part A and Part B premiums; ♦ cost sharing for Part A & Part B benefits.
- QMB Plus – Medicare Part A and Part B premiums; cost sharing for Part A & Part B benefits; Full Medicaid benefits.
- Specified Low-Income Medicare Beneficiary (SLMB)
- Medicare Part B premium.
- SLMB Plus – Medicare Part B premium; Full Medicaid benefits.
- Qualified Individual (QI)
- Medicare Part B premium.
- Qualified Disabled Working Individual (QDWI)
- QDWI (Qualified Disabled & Working Individual) – Part A premium. (AHIP Training * Medicare & You * CA Health Advocates)
- Other FBDE (Full Benefit Dual Eligible) – Medicare Part B premium; Full Medicaid benefits.
- 250% California Working Disabled (CWD) * Evidence of Coverage Page 26 *
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
Our Webpage on
COVID 19
#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
- Get Quotes, Full Information and Enroll
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
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