717.11 Who is Eligible for Part B Buy-In? SR 97-03, 02/97 (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,
• terminated from Title IV-A or Title IV-E financial assistance but is categorically eligible for extended MA because of increased earnings or increased child support,
• 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. SLMB provides for payments of the monthly Part B premium when a recipient meets all QMB requirements except income. For more information on SLMB, see Part 213SPECIFIED LOW INCOME MEDICARE BENEFICIARY of the Adult Assistance Manual, or
• recipient of the Qualified Medical Beneficiary (QMB) program.