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Medicaid/Medicare

The 2010 Medicare Open Enrollment begins November 15, 2009 and goes through December 31, 2009.

 

For more information or to make an appointment, please contact:

Area VI Agency on Aging Information & Assistance:

 

  • Emily Hoyt
  • Andrea Leander (bi-lingual)
  • Melissa Voyles
  • (208) 522-5391 or (800) 632-4813
OR
SHIBA - Senior Health Insurance Benefits Advisory at (208) 236-6044

Home visits may be possible.

EICAP's Information and Assistance office can provide answers to Medicaid/Medicare related questions. The office also can assist in completing some applications for these services.

If you would like assistance or more information regarding Medicaid or Medicare, please call our Information and Assistance office at 522-5391 or email us at .

Brief Summary of Six Medicaid Programs

Idaho's State Medical Insurance Program (2009)

Program Name Eligibility Guidelines Benefits

1)MEDICAID

  • for low income
  • under AABD

Note:
SSI: $674 (individual) / $1,011 (couple)

Includes $20.00 Disregard

Monthly Income: $706 (individual) / $1,011 (couple)

Resources: $2,000 (individual) / $3,000 (couple)

excludes home, care, and $1,500 for burial

-other guidelines may apply, depending on individual circumstances
  • Pays hospital bills
  • Pays doctor bills for doctors who accept Medicaid
  • Pays prescription costs for those not eligible for Medicaid Part D
    		•

    2) QMB (Qualified Medicare Beneficiary)

    On Medicare:

    Monthly Income: $903 (individual) / $1,215 (couple)
    100% of poverty

    Resources: $4,000 (individual) / $6,000 (couple)

    excludes home, care, and $1,500 for burial
  • Pays monthly premium of $96.40
  • Pays Part A hospital deduction of $1,068.00
  • Pays Part B medical deduction of $135.00
  • Pays Part B medical co-insurance 20% of Medicare approved charge (benefits start month after date of approval).
    		•

    3a) SLMB 1 (Specified Low-Income Medicare Beneficiary)

    On Medicare:

    Monthly Income: $1,083 (individual) / $1,457 (couple)
    120% of poverty

    Resources: same as QMB
  • Pays montly premium of $96.40
  • Benefit retroactive 3 months
    		•

    3b) SLMB 2

     

    On Medicare:

    Monthly Income: $1,219 (individual) / $1,640 (couple)
    135% of poverty

    Resources:same as QMB
  • Pays monthly premium of $96.50 as long as the block grant lasts
    		•

    4) Medicare Part D (Prescription Drug Program)

    On Medicare:

    Monthly Income: $1,353 (individual) / $1,821 (couple)
    150% of poverty

    Resources: $12,510(individual) / $25,010 (couple)
  • Pays montly premium up to $30.36
    		•

    5) Home & Community Based Services (HCBS)

    Monthly Income: $2,022 (individual)

    Resources: $2,000 (individual)
  • Pays portion of in-home services for eligible indivudals at home or in an assisted living facility
    		•

    6) Nursing Home

    Monthly Income: $2,022 (individual)

    Resources: $2,000 (individual)
  • Pays portion of 24 hour Skilled Nursing Home Care
    		•