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 Qualifying Individual (QI) Medicare Cost-Sharing Program

The Qualifying Individual Medicare Cost-Sharing Program is for people who receive Part A Medicare and whose income is between 120% and 135% of the Federal Poverty Level.    The Federal Poverty Level is available on the Internet at http://aspe.hhs.gov/poverty

QI covers ONLY the cost of the Medicare Part B premium.   It does not cover the Part A premium, Medicare co-insurance nor deductibles.  For help with the Medicare co-insurance payment, see NOTE at bottom of page. Persons who qualify for Medicaid by paying a spenddown or Medicaid Work Incentive premium are not eligible for QI.

Income Eligibility Limits in Monthly Amounts     (as of July 2010)            

Household Size  *Monthly Income
   

1     . . . . . . . . . . .    $1,219
2     . . . . . . . . . . . .  $1,640

*Deductions

Deduct $20.00, and $65.00 from earned income plus 1/2 of the remaining gross earned income

Spenddown

Spenddown is NOT allowed.

Asset Limits

 1 person   -  $6,600
 2 persons  - $9,910

Retroactive Coverage

Medicaid will NOT cover Medicare premiums nor medical costs prior to the month of application.

NOTE: Federally Qualified Health Centers are clinics that offer low-cost medical care.  It does not matter whether the person qualifies for Medicaid or has health insurance.  The cost of care is based on income.  There is a list of health centers in the brochure "Exploring Medicaid".  The brochure comes in two versions depending on where a person lives. One version of Exploring Medicaid is for people living in the Wasatch Front (Salt Lake, Utah, Davis, Weber, and Morgan Counties).  The other version of Exploring Medicaid is for people who live in other areas of the state. In either version, look for telephone numbers for Federally Qualified Health Centers in the Resource section of the brochure.