MC Buy-In Chart

Program

Scope of MC

Benefits

What MC Pays

Income Limit

Property Reserve Limit

Effective D buy‐in

Medicare Part A (Hospital Ins.)

Medicare Part B (Doctor’s Medical Ins.)

Prem.

Deduct.

Co‐Ins.

Prem.

Deduct

Co‐Ins

ABD-MN (Regular MC)

Full

X

(If enrolled in Part A)

X

(If enrolled in Part A)

X

X

X

Share of Cost based on maintenance need, unless in a% program

1 = $6600

2 = $9910

Part B: 3rd month approval

SSI/SSP

Full

X

(If enrolled in Part A)

X

(If enrolled in Part A)

X

X

X

Various levels depending on circumstances

1 = $6600

2 = $9910

Part B: Month app (cash)

QMB

Limited

X

X

X

X

X

X

100% of Federal Poverty Level

1 = $6600

2 = $9910

Parts A & B Month after approval if A; 

or for Part A on the first of the month following the application month for Medicare.

SLMB

Limited

X

120% of Federal Poverty Level

1 = $6600

2 = $9910

Part B: Month of A

QI-1

Limited

X

135% of Federal Poverty Level

1 = $6600

2 = $9910

Part B: Month of A

QDWI

Limited

X

200% Federal Poverty Level

1 = $6600

2 = $9910

Part A: Month App