West Department of How do I apply for You may qualify for Health and Human Resources Savings along with your Medicare Programs? and could receive additional Bureau for Medical Services coverage!  Do you have or are you eligible for Part A?

 Is your current income at or below the income limits?

 Do you have limited resources, below the limits?

If you answer yes to these three questions, call your local Department of Health and Human Resources office to see if you See what program you may qualify for a Medicaid Savings Program. qualify for today!

Have Medicare?

350 Capitol Street Room 251 You May Also Qualify for Charleston, WV 25301 (304) 558-1700 Medicaid.

How Can I Get Help? Qualified Medicare Beneficiaries Am I “Dual Eligible?” Medicare beneficiaries who have limited (QMB) If you are an individual who is entitled to income and resources may get help paying Individual income limit: $973 per month Medicare Part A and/or Part B and eligible for their Medicare premiums and out-of- Married couple income limit: $1,311 for some Medicaid benefit, you are “dual pocket medical expenses from Medicaid.  Pays the Part A coinsurance and eligible.” Medicaid may also cover additional services beyond those provided under Medicare.  Pays the Part B coinsurance, deductible and monthly premium. Are There Resource Limits for These benefits are sometimes referred to as Medicare Savings Programs? Medicare Savings Programs (MSPs). Total asset limits for the QMB, SLMB, and QI- Specified Low-Income Medicare 1 Medicare Savings Programs are: Beneficiaries (SLMB)  Individual: $7,160 Individual income limit: $1,167 per month  Married couple: $10,750 Married couple income limit: $1,573 per

month  Pays the Part B monthly premium Countable Resources Include:  Cash Qualifying Individuals (QI-1)  Money in a checking or savings account Individual income limit: $1,313 per month  Married couple income limit: $1,770 per Stocks month  Bonds  Pays the Part B monthly premium  Annuities & CDs What additional coverage will I receive? Resources Do Not Include: Beneficiaries with original Medicare cost-  Your home sharing may include:  One car  Coinsurance and/or copayment  Burial plot  ; and  Up to $1,500 for burial expenses if you have put that money aside  Premiums.  Furniture  Other household and personal items