![]() Generally, your cost share is 0% when the service is covered by both Medicare and Medicaid. ![]() At times you may also be eligible for limited assistance from your state Medicaid agency in paying your Medicare cost-share amounts. You are eligible for full Medicaid benefits. Specified Low-Income Medicare Beneficiary (SLMB+): Medicaid pays your Part B premium and provides full Medicaid benefits. There may be some services that do not have a member cost-share amount. The State Medicaid Office does not pay your cost-share. Qualifying Individual (QI): Medicaid pays your part B premium only. There may be some services that do not have a member cost share amount. Qualified Disabled and Working Individual (QDWI): Medicaid pays your Part A premium only. You pay nothing, except for Part D prescription drug copays. Medicaid pays your Part A and Part B premiums, deductibles, coinsurance and copayments amounts only. Qualified Medicare Beneficiary (QMB): You get Medicaid coverage of Medicare cost-share but are not eligible for full Medicaid benefits. Medicaid pays your Part A and Part B premiums, deductibles, coinsurance and copayment amounts. Qualified Medicare Beneficiary Plus (QMB+): You get Medicaid coverage of Medicare cost-share and are also eligible for full Medicaid benefits. You must be in one of these Medicaid categories: You must live in one of these New Mexico counties: Bernalillo, Catron, Cibola, Colfax, De Baca, Dona Ana, Eddy, Grant, Guadalupe, Harding, Hidalgo, Lea, Lincoln, Los Alamos, Luna, McKinley, Mora, Otero, Rio Arriba, Sandoval, San Miguel, Santa Fe, Sierra, Socorro, Taos, Torrance, Union, Valencia You must be entitled to Medicare Part A and enrolled in Medicare Part B. To enroll in Presbyterian Dual Plus (HMO D-SNP) H3204-013-004: * Benefit applies to H3204-013-004 plan only. ![]() $0 Diabetic supplies (test strips, lancets and meters). $275 per year for routine eyewear (frames, lenses, contacts and contact lens fittings) $2,000 allowance every two years for hearing aids and $0 hearing screening.ĥ0 one-way rides annually to your doctor, dentist or pharmacy. Debit Card for in store purchases, Catalog or Online Ordering available. $1,220 in annual credits every year for health-related items. SilverSneakers® fitness membership and locations nationwide at no additional cost. $3,000 in routine dental services annually. Some only get help to pay for certain Medicare costs, which may include premiums, deductibles, coinsurance, or copays. How much Medicaid covers depends on your income, resources and other factors. Dual Eligible Special Needs Plan (SNP) for people who have both Medicare and Medicaid. ![]()
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