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WHEN SHOULD I ENROLL IN MEDICARE?

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Your First Step: Put Together a good Needs Assessment

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WHAT IS IRMAA AND HOW TO APPEAL

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Oklahoma Medicare+Medicaid Guidelines

What is Medicare+Medicaid?

Oklahoma (and most other states) have a program called the "Medicare Savings Plan" or "Medicare Buy In" that assists low income beneficiaries with some or all of their out-of-pocket expenses.

Income and Assets

Income:  Social Security benefits, pensions, employment wages

Assets:    Real estate*, checking, savings, stocks, bonds, mutual funds


*NOT COUNTED AS ASSETS

Your residential home, land and household items, burial plot, burial funds or life insurance up to $1,500


NOTE;  THE FOLLOWING GUIDELINES ARE FOR OKLAHOMA ONLY.

Qualified Medicare Beneficiary (QMB)

Single                                                                            Married

Income    $1,325/mo                                                   Income  $1,783/mo

Assets     $9,660                                                          Assets $14,470


If you qualify for QMB Medicaid will pay your Medicare premiums and your out-of-pocket expenses for Medicare covered services.  It also qualifies you for LIS. (see below)


Specified Low-Income Medicare Beneficiary (SLMB)

Single                                                                               Married

Income $1,585/mo                                                          Income $2,135/mo

Assets  $9,660                                                                Assets 14,470


If you qualify for SLMB Medicaid will pay your Part B Medicare premium.  It also qualifies you for LIS. (see below)



Qualifying Individual (QI)

Single                                                                                  Married

Income  $1,781/mo                                                            Income $2,400

Assets  $9,660                                                                   Assets $14.470


If you qualify as a QI Medicaid will pay your Medicare Part B premium.  You will also qualify for LIS. (see below)



Low Income Subsidy (LIS) also called "Extra Help"

Single                                                                                     Married

Income $1,976/mo                                                               Income $2,664 

Assets  $17,600                                                                    Assets $ 35,130


Prescription assistance only. If you qualify for LIS Medicaid will pay your Part D premium and your prescription copays will be limited to $4.90 per generic prescription and $12.15 per brand prescription.

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