Get help with your 3r Medicare costs Programs that can help save you money STATE PROGRAMS CAN SAVE YOU MONEY LET'S GET STARTED You may qualifyto get help paying foryour Medicare Part A (Hospital Insurance) and/or Part B (Medical Insurance) premiums. States have programs that can help payyour Medicare expenses (like premiums, deductibles, and coinsurance). There are four Medicare Savings Programs: < Qualified Medicare Beneficiary (QMB) • Specified Low-Income Medicare Beneficiary (SLMB) i • Qualifying Individual (Ql) • Qualified Disabled &Working Individuals (QDWI) Ifyou qualify for QMB, SLMB, or Ql, you automatically qualifyfor extra help paying the costs of Medicare prescription drug coverage. CALL TO GET MORE INFORMATION Its very important to call or fill out an application ifyou thinkyou could qualifyfor savings, even ifyour income or resources are higher than the amounts listed in this publication. The only way to know for sure ifyou qualify is to apply. Call your State Medical Assistance (Medicaid) office to find out ifyou qualify. Call 1-800-MEDICARE (1-800-633-4227) to get their telephone number. TTY users should call 1-877-486-2048. Or, visit www.medicare.gov and select "Find Helpful Phone Numbers and Websites." www.medicare.gov THREE IMPORTANT QUESTIONS Ifyoucananswer"yes"tothesethreequestions,youshouldapplyforhelppayingyourMedicarecosts. 7* DoyouhaveMedicarePartA,alsoknownashospitalinsurance?Ifyouaren'tsure,lookonyourred,white,and blueMedicareinsurancecard,orcallSocialSecurityat 1-800-772-1213.TTYusersshouldcall 1-800-325-0778. 2m Isyourincome(for2009)atorbelowtheincomelimitslistedbelow? QMB $923.00 $1,235.00 Part A and Fart Bpremiums,and othercost-sharing(likedeductibles, coinsurance,andcopayments) SLMB $1,103.00 $1,477.00 Part Bpremiumsonly QI $1,239.00 $1,660.00 Part Bpremiumsonly QDWI $3,695.00 $4,942.00 PartApremiumsonly «3» Areyourresources*(for2009)atorbelow$4,000foranindividualor$6,000foramarriedcouple?(Resources includemoneyinacheckingorsavingsaccount,stocks,andbonds.Whenyoucountyourresources,don'tincludeyour home,car,burialplot,upto$1,500forburialexpenses,furniture,orotherhouseholditems.) • Ifyouhaveincomefromworking,youmayqualifyforthesebenefitsevenifyourincomeishigherthantheselimits.Manystatesfigui yourincomeand resourcesdifferently,soyoumaybeeligibleinvoui slateevenifyouthinkyouexceedtheselimits.Limitsareslightly medicare.gov w w j|w MEDICARE . CHS LIBRARY 3 flDT5 DDDllllO CENTERS FOR MEDICARE & MEDICAID SERVICES CMSPublicationNo. 10126 RevisedMarch2009