NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society Selfhelp WNYLC
Search:     Advanced search

Cost Sharing Confusion for Clients in the QMB Program

Views: 1683
Posted: 07 Nov, 2009
by Valerie Bogart (Selfhelp Community Services, Inc.)
Updated: 10 Jan, 2012
by David Silva (Selfhelp Community Services, Inc.)

FACTS:  Joe Client is disabled and lives only on SSI and SSD.  His health care is covered by Medicare, and Medicaid’s Qualified Medicare Beneficiary (QMB) program picks up his cost-sharing obligations.  He went to the doctor recently and, as with any other Medicare beneficiary, the doctor handed him a bill for his co-pay.  Now Joe has a bill that he can’t pay.  Can you help him?  Does he have to pay?

Read this article published by the Empire Justice Center on November 2, 2009.

The income limits for QMB and the other Medicare Savings Program change annually.  For updated figures in 2010 and later years, see NYS Dept. of Health website 

Author: Geoffrey Hale

See Also 

What Happens After My Medicare Savings Program (MSP) Application is Approved 
Fact Sheet for QMB (Qualified Medicare Beneficiary) Recipients

September 4, 2009

Author: Cathy Roberts


This article was authored by the Empire Justice Center.

Empire Justice Center

Also read
document Pathways to Extra Help - the Part D low income subsidy and how it can help your clients
document Medicare Savings Programs (MSP) in New York

External links
http://www.empirejustice.org/issue-areas/health/medicare-part-d/msp-app-process-fact-sheet.html
http://www.empirejustice.org/issue-areas/health/dual-eligibles/medicaidmedicare-dual.html

Prev   Next
Pathways to Extra Help - the Part D low income subsidy and how...     Medicaid & Medicare: Maximizing Coverage for Disabled Clients


This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship.  To contact a lawyer, visit http://lawhelp.org/ny. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information.  To report a dead link or other website-related problem, please e-mail us.