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Expanded Specified Low-Income Medicare Beneficiaries - Iowa

Medicaid will pay the Medicare Part B premium to those who meet all the following conditions:

·     Are entitled to Medicare Part A which provides benefits for hospital care.

·     Monthly income is at least 120% of the federal poverty level for the family size but is less than 135% of this level.

·     Resources do not exceed twice the maximum allowed by the SSI program. Resources are treated according to SSI policies. Meets general SSI-related Medicaid eligibility requirements.

Click on Desk Aid and see Expanded SLMB Income and Resource limits.

NOTE: You must have a web browser (such as Internet Explorer or Netscape) installed in order to view the Desk Aid.

If you are connected to the Internet, you can click here to see the Desk Aid on-line.

You must have Adobe Acrobat Reader installed in order to view the on-line version. If you do not have the Reader installed, you can download it free from: www.adobe.com/products/acrobat/readstep.html

·     Is not eligible for any other Medicaid coverage group.

Legal reference: 441 IAC 75.1(36)

See Also:

·           SSI-Related Coverage Groups

·           Overview of Medical Assistance in Iowa

·           Welcome and Introduction to Benefits in Iowa

Source: Iowa Dept of Human Services Employees’ Manual

Title 8 Medicaid

·                        Chapter F, Coverage Groups

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