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What is "Qualified Medicare Beneficiary" (QMB) Medicaid?

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AGED Trust

AGED Trust

Күн бұрын

Learn about the benefits Medicaid's Qualified Medicare Beneficiary (QMB) program in Florida.
If you are over the financial limits for the QMB program, you might still be eligible to qualify. Watch our video "Qualifying for QMB Medicaid When You Are Over the Financial Limits" for more information. • Qualifying for Qualifi...
For more information, visit our website at www.TrustAGED.org, or call us at (407) 682-4111 or toll free at (888) 277-1826.
Important Note: This is a discussion about the benefits of the QMB program in Florida. Medicaid benefits vary from state to state. If you are outside of Florida, these benefits may or may not apply to your state. Please review your state's benefits or consult with an elder law attorney for more details.

Пікірлер: 16
@christineparker7101
@christineparker7101 11 ай бұрын
Thank you ❤
@akrammasood3480
@akrammasood3480 7 ай бұрын
Hello, great video. I am trying to gift my homeless parents a house and my parents get Texas Medicaid QMB and medicare. What should be the maximum house value in Texas so they do not lose their QMB benefits ? Also does Medicaid estate recovery program try to seize the house of deceased QMB recipients who never lived in any nursing home or any other long term living facility ? Thanks
@kellymac76
@kellymac76 Жыл бұрын
My 27 year old son is an adult disabled child on QMB. He lives with my husband and I, I'm his Rep payee. We do not claim him as a dependent. To rectify in Florida it asks for the assets of everyone in the home. I don't want to charge him rent because I then owe income tax on it. Can he live with parents and be his own household or is it best to charge him rent? I want to put the rent money in his ABLE account but can't if I'm having to pay taxes on it. What type of attorney can advise me? Everything seems to deal with SSI or people trying to get on SSDI or SSI?
@_TrustAGED
@_TrustAGED Жыл бұрын
Hello! We would love to assist you in this matter. Please call us at 407-682-4111 and ask to speak to Thad. We look forward to speaking with you.
@surajsuriya5717
@surajsuriya5717 3 жыл бұрын
Your video is awesome. I need a favour from you could you make a video how Medicaid process the claim if we have Medicare is primary payer, please help us & explain it from scrap.
@_TrustAGED
@_TrustAGED 3 жыл бұрын
Glad you enjoyed the video. Thanks for the suggestion. To answer your question, it depends on what kind of Medicaid you have as to what is covered. Typically, when you have both Medicare and Medicaid, Medicare is the primary payer, and covers 80%, while Medicaid is the secondary payer picking up the remaining 20%. Your doctor or provider should have both insurances on file for billing purposes. Also note, if you have QMB Medicaid, the provider cannot "balance bill" you for the portion not covered by Medicare. Hope this helps!
@jessieperez2422
@jessieperez2422 2 жыл бұрын
How this program automatically qualified or how works
@_TrustAGED
@_TrustAGED 2 жыл бұрын
In Florida, you have to apply through the Department of Family and Children (DCF) through their website. Since QMB is a Medicare Savings Program, it works in conjunction with Medicare, meaning once you are qualified for QMB, when you go to the doctor or hospital you give them your Medicare card AND your Medicaid card for coverage. You can also get dual-eligible Medicare plans that cover both programs and give you extra benefits. A Medicare benefits specialist in your area can help you with getting into the dual eligible programs.
@daviddamron1370
@daviddamron1370 4 жыл бұрын
How do I get a replacement card?
@_TrustAGED
@_TrustAGED 3 жыл бұрын
For Florida Medicaid, call DCF at 850-300-4323 to request a new card. You can also print temporary cards from your online account.
@jacktorrance2620
@jacktorrance2620 2 жыл бұрын
Sorry, but this is not the case. I am QMB and don't receive any of the benefits you mention.
@_TrustAGED
@_TrustAGED 2 жыл бұрын
We are sorry that you are experiencing this. This informational video is specific to the state of Florida. Please call DCF at 800-300-4323 for more assistance.
@jacktorrance2620
@jacktorrance2620 2 жыл бұрын
Took many calls to DCF but 1/2 of the problem has been resolved. I say 1/2 because the pharmacy part is fixed but doctors office visits, co-pays, coinsurance, and extra charges have not. Do believe from what I've read it is illegal for them to do this.
@_TrustAGED
@_TrustAGED 2 жыл бұрын
@@jacktorrance2620 Is it possible you are on SLMB, QI1, or one of the other Medicare Savings Programs? Those programs aren't as robust as the QMB program, so they include the Low Income Subsidy (LIS) / Extra Help benefit which reduces the prescription cost, but those benefits wouldn't include other things like covering your coinsurance and deductibles. You would find this information on your most recent Notice of Case Action. Depending on where in Florida you are, you might be able to go into a local office and speak with someone. You can find that information here: www.myflfamilies.com/service-programs/access/map.shtml. If you are on the correct benefits and you are not receiving what you are entitled to, you could also file a complaint. Here's information on how to do that. ahca.myflorida.com/Medicaid/complaints/
@jacktorrance2620
@jacktorrance2620 2 жыл бұрын
@@_TrustAGED Definitely on QMB.
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