Medicaid question

[vic120]

I don't usually do these, But I want to help this lady as best as I can

Apparently she is SLMB designation not SLMB +

So what really is the difrence? And What are the odds of her being able to get a SLMB + designation? she said she has had more from Medicaid but it Changed and she does not know why should does get food money so I was surprised she didn't have enough for SLMB+ rating

If not she also said she is having issue getting card she was told when she calls she has to have her agent request for some reason

 

[vic120]

One more question IF I do a reg MA plan at a $23 premium will Medicaid pay the premium if it is SLMB level?

 

[MedicareAgent]

Eligibility | Medicaid

 

[StephanieCJ]

SLMB and SLMB+ have the same income guidelines, but + also qualifies for full Medicaid where as SLMB only qualifies for the part B assistance.

As far as the $23 premium, its going to depend, but typically if SLMB, they will qualify for extra help, which will pay up to a certain amount for Part D. Most MA companies have loaded the premiums toward the Part D side and not the medical side so that it is covered for beneficiaries who qualify for extra help.

I would also check for partial dual plans, as they are becoming more prevalent these days and cut down significantly on co-pays.

 

[vic120]

SLMB and SLMB+ have the same income guidelines, but + also qualifies for full Medicaid where as SLMB only qualifies for the part B assistance.

As far as the $23 premium, its going to depend, but typically if SLMB, they will qualify for extra help, which will pay up to a certain amount for Part D. Most MA companies have loaded the premiums toward the Part D side and not the medical side so that it is covered for beneficiaries who qualify for extra help.

I would also check for partial dual plans, as they are becoming more prevalent these days and cut down significantly on co-pays.

Yes I am finding most Duels start at SLMB+ or higher

Here is where I am confused and I don't really deal with this much just coming up a whole lot more lately

But she is SLMB not + but she does receive Medicaid money for food so its more then just part B premium paid

 

[StephanieCJ]

Hmm... Louisiana doesn't offer any money from Medicaid for food. We do have a partial plan in my area that has a small monthly food card. Do you have contact information for anyone with SHIIP in your state? Since Medicaid is a state-level program, they may be able to provide more insight than what I can.

 

[Smithsonia]

Their food benefit could be from the SNAP program and from my understanding that is a separate benefit from Medicaid benefits. Depending on the area they are in some DSNP plans like Humana include a food card usually around $50 or so that SLMB are eligible for.

It looks like the benchmark for LA this year is a little over $36 so it would cover the premium up to that but only if it includes rx coverage.

 

[vic120]

Their food benefit could be from the SNAP program and from my understanding that is a separate benefit from Medicaid benefits. Depending on the area they are in some DSNP plans like Humana include a food card usually around $50 or so that SLMB are eligible for.

It looks like the benchmark for LA this year is a little over $36 so it would cover the premium up to that but only if it includes rx coverage.

Yea both UHC and Humana are SLMB+ and up

But I did a good UHC plan $31 premium all part D so it wont cost her anything

includes rides OTC pretty good dental most of what she was looking for low copays and such

She seems happy

she was on a high copay wellcare plan think it was the buy back plan but she doesn't pay part B premiums anyway She hated the copays and little extra's

SO think she is good only thing she doesn't get that she wanted was the food card