QMB Homepage
SUMMARY OF CERTAIN BENEFIT PROGRAMS
APRIL 1, 2001 THROUGH MARCH 31, 2002
|
Program |
Gross Monthly Income Limit |
Countable Resource Limit |
||
|
Individual |
Couple |
Individual |
Couple |
|
|
Supplemental Security Income (SSI) |
$550 |
$816 |
$2000 |
$3000 |
|
QMB |
$736 |
$988 |
$4000 |
$6000 |
|
SLMB |
$879 |
$1181 |
$4000 |
$6000 |
|
QI-1 |
$987 |
$1327 |
$4000 |
$6000 |
|
QI-2 |
$1273 |
$1714 |
$4000 |
$6000 |
| QDWI |
$1452 |
$1955 | $4000 | $6000 |
|
Long-term care Medicaid |
$1590 |
$3180 |
$2000 |
$3000 |
To Qualify:
Income must be below the figures shown for SSI, QI-1, and QI-2. Income can be equal to or less than the figure shown for QMB, SLMB, and long-term care Medicaid. Twenty dollars ($20) is automatically deducted from the figures given above (except for long-term care Medicaid). Also, for QMB, SLMB, QI-1, and QI-2, the first $65 of monthly earned income (wages or salary), and one-half the remainder is deducted before the $20 is taken out, to calculate countable earned income.
Resources: The following items are not counted: The homestead lived in by the applicant or the applicant’s spouse regardless of size or value (an Intent to Return Home, DHS Form 1245, will also exclude the homestead); one vehicle used to get to work or needed to get to medical care (if not, exclude the first $4500 in value); household possessions and clothing; $1500 face value whole life insurance; burial items already paid for (plot, casket, grave markers), and some other items.
Benefits:
SSI: Monthly cash payment for persons who are at least 65 years old or disabled or blind – pays $1 for every $1 below the income limit and provides regular Medicaid;
QMB: Payment of all Medicare premiums, co-insurance, and deductibles;
SLMB: Payment of the Medicare Part B premium ($50.00 in 2001);
QI-1: Payment of the Medicare Part B premium ($50.00 in 2001);
QI-2: Payment of the part of the Medicare Part B premium that pays for home health costs;
Long-term care Medicaid: Nursing home or community-based (in-home) nursing care and related services.
Where to apply: For SSI call Social Security (1-800-772-1213, TTY 1-800-325-0778). For all other programs call 1-888-834-7406 or 1-888-834-7406 TDD for an application from the Texas Department of Human Services, which administers all Medicaid programs. For more help with Medicare questions, call 1-800-252-9240 or 1-877-526-9953 (TDD). Persons who have disabilities can call 1-800-252-9108 (voice/TDD).
When do the limits change? SSI and Long-Term Care change on January 1st. The others, on April 1st.
Useful legal cites (TX): Cost-free medical records, for applications based on disability: Health and Safety Code, §161.201-204. Consent to Medical Treatment Act: Health and Safety Code, §313.001-007.
Last updated: 01/03/2002