Medical Premium Assistance

The Medicare Premium Assistance Program helps Ohioans who are eligible for Medicare to pay the cost of Medicare premiums, deductibles, and co-payments.

The Medicare Premium Assistance Program offers different types of coverage based on a person’s income and assets. A person may be eligible for both Ohio Medicaid coverage and help with paying Medicare premiums, if he or she qualifies for both Medicaid and Medicare coverage.

Types of Assistance

1. Qualified Medicare Beneficiary (QMB):
   1. Covers Medicare Part A & B premium(s), deductibles and co-payments
   2. Will get a special QMB card each month
   3. Monthly income Limit: $973 or less for an individual and $1,311 for a couple
2. Specified Low-Income Medicare Beneficiary (SLMB):
   1. Covers Medicare Part B premiums(s)
   2. No monthly card
   3. Individual responsible for paying Medicare deductible and any co-payments
   4. Monthly income Limit: $1,167 or less for an individual and $1,573 or less per couple
3. Qualified Individual-1 (QI-1):

1. 1. Same coverage as SLMB
   2. Must apply every January

Monthly income Limit: $1,313 or less for an individual and $1,770 or less per couple

When applying you will need:

1. Your Social Security number
2. Your Medicare claim number and information on other health care insurance you may have
3. Proof of all sources of income
4. Proof of all your assets, including: cash, checking and savings accounts, stocks and bonds, real estate, motor vehicles, life insurance policies

Some items may not count as assets. These include: your primary home, one motor vehicle, burial or term life insurance policies, personal effects

When applying for MPAP, proof of income, resources, age or disability, citizenship (if not a U.S. citizen) and other health insurance is required. No face-to-face interview with the local county department of job and family services is necessary. Applicants can ask an authorized representative to apply on their behalf.

FEDERAL MEDICARE INFORMATION