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)

  • Premiums for
    Parts A & B
  • Deductibles for
    Parts A & B
  • Coinsurance for Parts A & B
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)

  • Part B Premium
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)

  • Part B Premium
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)

  • Medi-Cal coverage (with monthly premium)
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

Disability Benefits 101

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

#Understanding Medicare Advantage Plans (PDF) #12026

Watch Video

Video understanding medicare advantage mapd

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!

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

2 comments on “Part B Medicare Premium paid by Medi Cal

  1. 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?

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