Medicare Savings Programs MSP

1
Medicare Savings Programs(MSP)
2
QMBQualified Medicare Beneficiaries

• Pays for
• Medicare Part B (Supplementary Medical Insurance)
  premiums and
• Deductibles and coinsurance charges for all
  Medicare covered services, including Medicare
  services not covered by Medicaid
• Part A premiums, if any and if the person is
  already enrolled in Part A

3
SLIB (SLMB)Specified Low-Income Beneficiaries

• Payment for
• Medicare Part B premiums only

QI-1Qualified Individuals

• Payment for
• Medicare Part B premiums only

4
Eligibility for MSP

• Eligible individuals must
• Have Medicare Part A (or Medicare Advantage)
• Meet the income standard
• Meet the asset standard
• Be an Illinois resident
• Provide their Social Security Number
• Assign medical support rights

5
2009 Monthly Income Standards
25 income deduction is given earned income
deductions, if applicable
6
Asset Standards
7
Applying for MSP

• Should be automatically considered part of a cash
  or medical application
• MSP only - DHS Family Community Resource Center
  (FCRC)
• 2378M (www.hfs.illinois.gov/medicalforms/)
• SSA Extra Help after 1/1/10
• Extra Help file will generate initial web-based
  app to DHS
• 267MSP requesting additional info will be sent
• Individual must respond and verify eligibility

8
When does Coverage Begin?

• QMB the month after the application is approved
• SLIB (SLMB) QI-1 up to 3 months before the
  application month if the person was eligible

9
How Long does Coverage Continue?

• FCRCs should complete an annual redetermination
  to review eligibility
• MSP should be continued, if eligible - even if
  other eligibility ends
• Contact the FCRC to add MSP to the existing
  medical or cash case. A new application is not
  needed.

10
MIPPA Changes Affecting MSP Medicare
Improvements for Patients and Providers
ActBeginning 1/1/10

• Higher asset limit
• Application for SSA Extra Help is also for MSP
  unless declined
• No estate recovery for MSP