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Qualified Medicare Beneficiaries (QMB) - Iowa

Under the "Qualified Medicare Beneficiary" (QMB) coverage group, Medicaid pays for the Medicare Part A and B premiums, coinsurance and deductibles for persons who are entitled to hospital insurance under Medicare Part A. These are the only services for which persons under QMB are eligible unless they are also concurrently eligible for full Medicaid benefits under another coverage group.

To be eligible for QMB, a person must meet all of the following requirements:

·     Be entitled to Medicare Part A.

·     Have monthly income that does not exceed 100% of the federal poverty level by family size.

Click on Desk Aid and see the QMB Income limits.

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

·     Have resources that do not exceed twice the maximum allowed by the SSI program. Resources are treated according to SSI policy. The resource limits for the QMB group are $4,000 for an individual and $6,000 for a couple. Meets all other SSI-related Medicaid general eligibility requirements.

NOTE: These income limits and resource numbers are accurate in 2005. After that, 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

See Also:

·           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 D, Resources

·                        Chapter F, Coverage Groups

Legal references: P.L. 100-360, 441 IAC 75.1(29)

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