Categories of Dual-Eligible Beneficiaries (A Reminder)

Here are the categories of dual eligible beneficiaries and out-of-pocket costs that are paid by Medicaid:

QMB (only) (Qualified Medicare Beneficiary) – 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.

SLMB (only) (Specified Low-Income Medicare Beneficiary) – Medicare Part B premium.

SLMB Plus – Medicare Part B premium; Full Medicaid benefits.

QI (Qualifying Individual) – Medicare Part B premium.

Other FBDE (Full Benefit Dual Eligible) – Medicare Part B premium; Full Medicaid benefits.

QDWI (Qualified Disabled & Working Individual) – Part A premium.

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