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  HFS 3757 Medicare Savings for Qualified Beneficiaries

 
You Could Save up to $1,156.00 a year in Medicare expenses
The State of Illinois can help
The State of Illinois can help.

Learn about State of Illinois programs that can save you money.

Many Illinoisans with Medicare can save up to $1156.80 each year by participating in Medicare cost sharing programs. These programs may pay for Medicare premiums. You can keep more of your Social Security check by enrolling. Many people use the extra money to help pay for living expenses or prescription drugs.

Many of the people who can save those costs never apply. Are you one of them?

How Do I Know If I Qualify?
  1. You must have Medicare Hospital Insurance (Part A). If you’re not sure whether you have it, look on your Medicare card or call Social Security, at 1-800-772-1213 to find out. The call is free.
  2. Your income is below certain limits. (Look at the table below to see if you might qualify.)
  3. Your financial resources, or the things you own, are worth less than $4,000 for an individual ($6,000 for a couple.)

Financial resources are things like bank accounts, stocks, and bonds.

Some things are not counted: the home you live in, one car, burial plots, and furniture.

The State of Illinois may place a claim on your estate for the amount of Medicare cost-sharing expenses paid by the State. The claim is only for payments made when you are age 55 and older.

How Does It Work?

The State of Illinois may pay some or all of the following Medicare expenses depending on your income:

Premiums - These amounts would no longer be deducted from your Social Security check.

Deductibles and Coinsurance - If your doctor accepts assignment, he or she will bill the State for these amounts when you seek healthcare.

How Do I Apply?

Request an application by calling the Department on Aging at 1-800-252-8966, or the Department of Human Services at 1-800-843-6154.

Call or visit the local Department of Human Services Family Community Resource Center (FCRC) nearest you and a caseworker will help you apply.

After you apply, the FCRC will inform you in writing if you qualify for benefits.

Call 1-800-843-6154 to learn more about Medicare Cost Sharing Programs in Illinois. Hearing-impaired persons using a teletypewriter (TTY) can call 1-800-447-6404. The call is free.

Illinois Programs That Help Pay Medicare Cost Sharing Expenses 2008
Your Monthly Income Limits* Program Will Pay* Cost Sharing Program Name
$867 Individual or $1,167 Couple Premiums, deductibles, coinsurance at least $96.40/month-$1,156.80/year Qualified Medicare Beneficiary (QMB)
$1,040 Individual or $1,400 Couple Medicare Part B premiums
up to $96.40/month-$1,156.80/year
Specified Low-Income Medicare Beneficiary (SLIB)
$1,170 Individual or $1,575 Couple Medicare Part B premiums $96.40/month-$1,156.80/year Qualified Individual-1 (QI-1)

*These limits may increase slightly each year.

2008 Medicare Deductible, Coinsurance & Premium Amounts
Medicare Part A
Hospital
Deductible:   $1,024
Coinsurance:    
 

1st through 60th day:
61st through 90th day:
91st through 150th day:

$0
$256/day
$512/day
Skilled Nursing Facility
Coinsurance:    
 

1st through 20th day:
21st through 100th day:

$0
$128/day
Part A Premium
None for most enrollees:
For voluntary enrollees:
 
  • $423/month (if individual has 29 or fewer quarters of Social Security coverage)
  • $233/month (if individual has 30-39 quarters of Social Security coverage)
Medicare Part B
Deductible: $135/year
Premium: $96.40/month
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