Medicare Savings Programs

4.2.1.6 Retroactive Eligibility

Service Limited Medicare Beneficiary (SLMB), Qualified Individuals (QI) and Qualified Working Disabled (QWD) Medicare Savings Programs (MSP) are available for the three months before the month of application for people who meet all eligibility requirements. The Social Security Administration reimburses the person for the cost of Medicare Part B premiums they paid during the retroactive period.

While Qualified Medicare Beneficiary (QMB) has no retroactive coverage, people eligible for QMB may receive SLMB for the three-month retroactive period and all processing months preceding the month QMB eligibility begins if all other eligibility requirements are met.

Legal Citations

Code of Federal Regulations, title 42, section 435.914

United States Code, title 42, section 1396a(a)(10)(E)

United States Code, title 42, section 1396d

Published:  June 1, 2016

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