LTC Medicare Premiums (Archive)

Deduct Medicare premiums paid by the client from the LTC income calculation.

Do not allow the Medicare Part B premium amount if:

l  The client is receiving one of the following Medicare Savings Programs:

n  Qualified Medicare Beneficiary (QMB).

n  Service Limited Medicare Beneficiary (SLMB).

n  Qualified Individual (QI).

l  The county agency pays or reimburses the client for the Medicare premium.

Do not allow the deduction of the Medicare Part D premium if the client is receiving Extra Help A Medicare Part D cost-sharing subsidy program. Full-benefit, dual eligible enrollees are automatically eligible for the full Extra Help subsidy. Others may apply to the Social Security Administration for full or partial Extra Help subsidies. to pay the premium amount.

l  See Medicare Part D for more information on Extra Help.

l  Clients receiving Extra Help may pay an addition premium cost above the benchmark premium amount for greater Part D coverage. Allow the premium amount paid in excess of the benchmark premium amount. See MA/GAMC and Medicare Part D for information on how Extra Help affects a spenddown or LTC income calculation.

l  See Medicare Part D Benchmark Plans for more information on plans available to clients receiving Extra Help and the benchmark premium costs.

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