California stops paying cost avoidance Medicare Part B premiums for Medicare eligible Medi-Cal applicants

Effective as of April 1, 2011, the Department of Health Care Services (DHCS) will stop paying cost avoidance Medicare Part B premiums for Medicare eligible Medi-Cal applicants and beneficiaries.  This is unless beneficiaries meet their Share of Cost (SOC) in a given month.  As a result, 700 beneficiaries across California would be affected as the result of a budget trailer bill (Senate Bill 853) amending Welfare and Institutions (W&I) Code 14005.11.  Thus, it would affect Part B premiums in being deducted from Social Security checks received by the beneficiaries in May 2011. 

Moreover, beneficiaries who are eligible for one of the following Medicare Savings Programs (MSPs):

  • Qualified Medicare Beneficiary (QMB)
  • Specified Low-Income Medicare Beneficiary (SLMB)
  • Qualified Individual (QI-1)

are also eligible for payment of Medicare Part B premiums but are eligible for those payments because the Part B premium payment is an MSP program benefit.  This is regardless of whether beneficiaries are also eligible for Medi-Cal under another program, with or without SOC.

Credit source: Karen Fletcher (California Health Advocates).

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2 Responses to California stops paying cost avoidance Medicare Part B premiums for Medicare eligible Medi-Cal applicants

  1. Spencer says:

    Beneficial piece of writing, I must say i look forward to up-dates by you.

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