Topic: SLMB
If there are any issues with the Buy-In, look over the following items to verify that they are correct on the case: Certification period 12 months Claim number on Bendex (Block B07) Medicare cards are now issued with a new Medicare number that is unique to the beneficiary instead of using SSN-based Health Insurance Claim […]
Description of the parts of Medicare and where to find more information about Medicare
Specified Low-Income Medicare Beneficiaries (SLMB) – means individuals who, except for income, meet all of the eligibility requirements for QMBP eligibility and are enrolled in Medicare Part A. When approved for SLMB, Medicaid pays for the Medicare Part B premium. Policy regarding this term is located at: Public Assistance Procedures (SoonerCare): 340:65-3-1. Determination of eligibility; […]
Medicare – -means the federally funded health insurance program also known as Title XVIII of the Social Security Act. It consists of four separate programs. Part A is Hospital Insurance, Part B is Medical Insurance, Part C is Medicare Advantage Plans, and Part D is Prescription Drug Coverage. Policy regarding this term is located at: […]
Disabled individual – a term used for a person who meets the definition that the Social Security Administration uses in determining eligibility for disability benefits or for SNAP, meets the SNAP disability definition.
Buy-In – means the procedure whereby the Oklahoma Health Care Authority pays the person’s Medicare premium.
Specified Low-Income Medicare Beneficiary (SLMB) Program to pay Medicare Part B premiums for those whose income is above the QMBP standard. Person must be enrolled in Part A Medicare and paying any associated fees if they have them Persons on one of the LTC medical programs (ADvantage, Nursing Home, DDS) can also be eligible for […]
Aged, Blind, or Disabled individuals may be eligible for various programs and benefits.