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Qualified Medicare Beneficiary is a Medicaid program for persons with little or no income/assets. Medicaid pays the QMB's co-payments and deductibles. Medicare A & B premiums are usually deducted from the QMB's SSA benefits.
On medicaid they say I qualify for a buy in under QMB .The state is paying my buy in but medicare sends me the bills and insist that Medicaid is not paying. I have been trying to straiten this out for 18 months now .medicare blames social security , social security blames medicaid , medicaid blames social security. Now I am told the Dept. of buy-ins is the only ones that can fix the problem. Is there such a Dept? How could I contact them?
When dealing with a Medicare Advantage (Medicare Adv) plan that has New York Medicaid recently added, and the Medicaid portion is linked to an inactive Medicare Adv plan, there are several steps to consider: Dual-eligible Special Needs Plans (D-SNPs): These are Medicare Advantage Plans specifically designed for individuals enrolled in Medicare and Medicaid. D-SNPs typically require using in-network providers for Medicare services, and these providers should also accept Medicaid. Cost-sharing varies among plans, and some may offer zero cost-sharing for enrollees. D-SNP enrolment is voluntary, and it’s essential to verify that Medicaid covers Medicare cost-sharing, such as deductibles and copayments. Medicaid Advantage Plus (MAP) Plans: For individuals with long-term care needs, MAP plans provide a “wrap-around” partial Medicaid benefit to enhance coordination between Medicare and Medicaid services. If you’re eligible, you can enroll by following these steps: Call 1-800-MEDICARE (633-4227) and enroll in the MAP plan’s Medicare product. You may be instructed to call the MAP insurer directly for further enrollment. Contact New York Medicaid Choice (the state’s managed care enrollment program) at 888-401-6582 to complete the Medicaid portion of enrollment into the MAP plan. Original Medicare + Medicaid: Some individuals may prefer Original Medicare coverage because it provides greater flexibility in choosing providers. In this case, you can combine Original Medicare with a Medicare Part D plan and fee-for-service (FFS) Medicaid. Additionally, consider a Medicaid managed long-term care (MLTC) plan if you have long-term care needs. Remember that each situation is unique, so it’s advisable to consult with a knowledgeable professional or contact your local Medicaid office for personalized guidance.
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I'm not sure, but I called social security a few days ago to tell them I would be moving to Washington state and they said to visit the social security office because there was a possibility I could get more money through the state. Don't know if that helps, but when you get to your new state go to the social security off. Also, there is something called the QMB program. You can apply at the Health and Human Services Department to get it. It is where the state will pay for your medicare premium instead of it coming out of your monthly disability check. Luckily I had a case manager that helped me out with that little tid bit. I get an extra hundred dollars because of it. It's not a lot but it helps. No, disability payments do not increase if you move to another state. I can only say this from experience. If you moved somewhere with a high cost of living, it might be possible but still doubtful. If that was the case I could move to Beverly hills where the cost of living is very high and have a huge pay increase, which if it were possible, would probably be abused. Which is why it's probably not possible. I believe payments are calculated on a nationwide level among other factors.