Get Help paying your Medicare Costs: Programs for Medicare Beneficiaries with limited income and assets 2016.
If you are living on a low income and have limited resources,* you can start saving money right now on your Medicare costs.
Through a Low Income Subsidy (sometimes called “Extra Help”) you can save an average of $300 a month in Medicare Part D prescription costs and through a Medicare Savings Program, you can save more than $100 a month in Medicare Part B premiums.
New Jersey offers three types of Medicare Savings Programs based on your income and assets:
*Qualified Medicare Beneficiary (QMB).
*Specified Low-income Medicare Beneficiary (SLMB)
*Qualified Individual-1 (QI-1)
*Your home and one vehicle are not counted as assets.
Take a look at the chart below and see which programs best describe you and then call 1-800-792-8820.
Qualified Medicare Beneficiary (QMB):
Monthly Income:
For individuals, not more than $990
For a couple, not more than $1,335
Asset Eligibility:
For individuals, not more than $4,000 in assets.
For a couple, not more than $6,000 in assets
What it saves you:
Pays your monthly Medicare Part B premium.
Pays your Medicare deductibles and coinsurance.
Specific Low-Income Medicare Beneficiary (SLMB):
Monthly Income:
For Individuals, over $990 but less than $1,188.
For a couple, over $1,335 but less than $1,602.
Asset Eligibility:
For individuals, not more than $7,280 in assets.
For a couple, not more than $10,930 in assets.
What it saves you:
Pay your monthly Medicare Part B premium.
Automatically enrolled in LIS (see below)
Qualified Individual-1 (QI-1)
Monthly Income:
For individuals over $1,188 but less than $1,336.50.
For a couple, over $1,602 but less than $1,802.25.
Asset Eligibility:
For individuals, not more than $7,280 in assets.
For a couple, not more than $10,930 in assets.
What it saves you:
Pays your monthly Medicare Part B premium.
Automatically enrolled in LIS (see below).
Low Income Subsidy (LIS):
Monthly Income:
For individuals, not more than $1,485.
For a couple, not more than $2,002.50.
Asset Eligibility:
For individuals, not more than $13,640 in assets.
For a couple, not more than $27,250 in assets.
What it saves you:
Pays some or most of your Medicare Part D prescription costs.
You can save more than $100 a month with a Medicare Savings Program.
Most seniors and individuals with disabilities on Medicare pay $104.90 or $121.80 each month directly out of their Social Security check for their Part B premium.
All individuals enrolled in a Medicare Saving Program get the program to pay their Part B premium. Individuals on QMB also save money on Medicare deductibles and coinsurance.
You may save an average of $300 a month with a Low Income Subsidy.
The average monthly premium for a Medicare Part D prescription drug plan is $34.10. In addition, each time a Medicare Part D beneficiary goes to the pharmacy they must pay their co-payment and in the donut hole, about half the cost of their medication.
Individuals enrolled in a Low Income Subsidy (LIS) get the program to pay their Part D premium, lower their co-payment amounts and avoid the donut hole. People on LIS also pay no Medicare Part D late enrollment penalty.
For more information on programs that help lower your Medicare costs, contact the following agency: For additional information call the NJ Division of Aging Services at 1-800-792-8820 or visit our website at http://www.aging.nj.gov.
*Disclaimer: I took this information directly from NJ Division of Aging Services pamphlet. I have never used this program before so I have no opinion yes or no to how it runs. Please call or email the above number for more information.
Please call or email the above number for more information.
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