Medicare Savings Programs
(MSP)
June 2, 2010 1
John Spears – HFS Policy
04/10/23 2
QMBQualified Medicare Beneficiaries
Pays for:• Medicare Part B (Supplementary Medical
Insurance) premiums; and • Deductibles and coinsurance charges for all
Medicare covered services, including Medicare services not covered by Medicaid
• Part A premiums, if any – and if the person is already enrolled in Part A
04/10/23 3
SLIB (SLMB)Specified Low-Income Beneficiaries
Payment for:• Medicare Part B premiums only
QI-1Qualified Individuals
Payment for:• Medicare Part B premiums only
04/10/23 4
Eligibility for MSP
Eligible individuals must:• Have Medicare Part A (or Medicare Advantage)
• Meet the income standard • Meet the asset standard• Be an Illinois resident• Provide their Social Security Number• Assign medical support rights
2010 Monthly Income Standards*
QMB0-100% FPL
SLIB (SLMB)100-120% FPL
QI-1120-135% FPL
1 person $903 $1,083 $1,218
2 people $1,214 $1,457 $1,639
June 2, 2010 Understanding Medicare 5
*$25 income deduction is given & earned income deductions, if applicable
04/10/23 6
Asset Standards
2010
1 person $8,100
2 people + $12,910
04/10/23 7
Applying for MSP
• Should be automatically considered part of a cash or medical application
• MSP only - DHS Family Community Resource Center (FCRC)
– 2378M (www.hfs.illinois.gov/medicalforms/)
• SSA Extra Help after 1/1/10– Extra Help file will generate initial web-based app to DHS– 267MSP requesting additional info will be sent– Individual must respond and verify eligibility
04/10/23 8
When does Coverage Begin?
• QMB – the month after the application is approved
• SLIB (SLMB) & QI-1 – up to 3 months before the application month if the person was eligible
04/10/23 9
How Long does Coverage Continue?
• FCRCs should complete an annual redetermination to review eligibility
• MSP should be continued, if eligible - even if other eligibility ends
• Contact the FCRC to add MSP to the existing medical or cash case. A new application is not needed.
