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).