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Community Connections
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1. Help pay for Medicare Part A (Hospital) and Part B (Outpatient) premiums.

2. Four Medicare Savings Programs:

  • Qualified Medicare Beneficiary (QMB)
  • Special Low-Income Medicare Beneficiary (SLMB)
  • Qualified Individual (QI)

To be eligible answer YES to the following questions:

  • Do you have Medicare Part A?
  • Are your resources at or below $6,680 for an individual or $10,020 for a married couple? (Includes money in checking or savings, stocks and bonds. Does not include your home, car, burial plot, up to $1,500 for burial expenses, furniture or other household items.)
  • Is your income for 2011 at or below the income limits listed below?

Medicare Savings Programs Individual Monthly Income Limit Married Couple Monthly Income Limit Helps Pay Your
QMB $928 $1,246 Part A and Part B premiums, and other cost-sharing (e.g., deductibles, coinsurance and copayments)
SLMB $1,109 $1,491 Part B premiums only
QI $1,446 $1,675 Bart B premiums only
QDWI $3,553 $4,753 Part A premiums only

If you think you qualify, apply. The only way to know if you qualify for sure is to apply.
For Washington State, call DSHS - Department of Social and Health Services:

1-800-562-3022

For more information about Medicare . . .

1-800-633-4227
www.Medicare.gov
1-877-486-2048 - TTY









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