QMB/SLMB Coverage

To qualify for the QMB/SLMB program, applicants must meet three general eligibility requirements:

  1. Be enrolled in Part A Medicare (Hospital Insurance)
  2. Have resources not exceeding the QMB/SLMB resource maximums for an individual or couple. Refer to the Aged, Blind and Disabled Income and Asset Limit chart for current resource amounts.
  3. Have income not exceeding the QMB/SLMB standard of the Federal Poverty Level for the assistance group size

There are three programs which pay for Medicare Part B premiums:

  • QMB: This program can be active at the same time as MO HealthNet insurance and is for people with income that does not exceed 100% of the Federal Poverty Level (FPL). This program covers Medicare premiums and makes payments to medical providers for coinsurance and deductibles for Medicare services.
  • SLMB1: (also called Group 1) This program can be active at the same time as MO HealthNet insurance and is for people with income more than 100% of the FPL but not exceed 120% of the FPL. This program covers Medicare Part B premiums only.
  • SLMB2: (also called Group 2) This program cannot be active at the same time as MO HealthNet insurance and is for people between 120%-130%. This program covers Medicare Part B premiums only.

https://mydss.mo.gov/medicare-cost-savings-programs