717.11 Who is Eligible for Part B Buy-In? SR 05-12, 04/04 (FAM-A) |
To be eligible for Part B buy-in, an individual must be eligible for Part B Medicare and be one of the following:
. Recipient of financial assistance under Title IV-E (foster care or adoption subsidy) or Title IV-A (TANF). Consider a TANF individual to be a recipient of financial assistance even when the $10 minimum grant requirement prevents a check from being issued;
*
. Recipient of categorically needy medical assistance (non-nursing facility resident), and one of the following:
- Receives SSI (Title XVI);
- Meets Pickle Amendment criteria;
- Certified as 1619(b) by SSA; or
- Entitled to the 1972 20% SSA benefit increase deduction;
. Recipient of the Specified Low-Income Medicare Beneficiary (SLMB) program, or SLMB135*. SLMB and SLMB135 provide for payment of the monthly Part B premium when a recipient meets all QMB requirements except income. For more information on SLMB and SLMB 135, * see Part 213 SPECIFIED LOW INCOME MEDICARE BENEFICIARY of the Adult Assistance Manual; or
. Recipient of the Qualified Medicare Beneficiary (QMB) program.