Medicaid/Medicare Buy-in Program Application

The Medicaid/Medicare Buy-In Programs help people with a low income to pay their Medicare premium. Recipients can receive a substantial increase in spendable income when they no longer pay for their Medicare premium. There are three distinct Buy-in programs and each has different eligibility requirements:

Qualified Medicare Beneficiary (QMB)- Individuals who qualify for QMB are eligible to have Medicaid pay for Medicare Premiums for Parts A and B, Medicare deductibles, and Medicare coinsurance within the prescribed limits. This is the only Medicaid benefit.

Special Low Income Medicare Beneficiary (SLMB)-Individuals who are eligible for SLMB are eligible to have Medicaid pay Medicare directly for Medicare premiums for Part B. This is the only Medicaid benefit.

Qualified Individuals (QI-1)-Individuals who are eligible for QI1 are eligible to have Medicaid pay Medicare directly for Medicare premiums for Part B. The income limits are higher than SLMB and payment is only guaranteed through the end of the year the application was made. This is the only Medicaid benefit. Details of current eligibility requirements, are included in Understanding Medicaid Programs here.

Applications

The same application is used to apply for all three programs. It is much shorter than an application for other Medicaid programs.

To apply online:  http://www.myflorida.com/accessflorida/

To get the latest Buy-in application search “buy-in” and print.

Find the nearest DCF access point or Community Partner.