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Frequently Asked Questions

Medicare Buy-In (QMB, SLMB and QI-1) Programs

For Qualified Medicare Beneficiaries (QMBs) Medicaid pays the Part B premium and also covers co-payment and deductibles.  Recipients who qualify for the Specified Low-Income Medicare Beneficiary (SLMB) or the Qualified Individual - 1 (QI-1) programs are eligible to have Medicaid pay their monthly Part B premiums.  Below are questions recipients often ask about this program.

Yes. Alabama Medicaid has three programs for people who have Medicare coverage: The Qualified Medicare Beneficiary (QMB) program, the Specified Low-Income Medicare Beneficiary (SLMB) program, and the Qualifying Individual (QI-1) program. The services you get depend on how much income you have. These programs pay Medicare premiums, and in some cases, Medicare deductibles and co-insurance. There are some people called “dual eligibles” who receive full coverage under both programs.
Refunds come from the Social Security Office and usually take 30 to 90 days from the date you were awarded Medicaid.
Recipients will only receive a refund for premiums that were charged to the recipient and paid by Medicaid. A refund will not be issued for months the recipient was not on a Medicaid program that pays the Medicare premiums.
There can be several reasons: 1) If your annual review was not turned in and your case was terminated, then Medicaid would no longer pay the Medicare premiums. Contact your eligibility worker to determine if your case is active or if you need to re-apply. 2) If you receive SSI and lost your SSI benefits then Medicaid would no longer pay your premiums. Contact eligibility for an application to see if you qualify for any other Medicaid program that would pay your premiums, and 3)If your case is suspended at Social Security due to an address issue then Medicaid would stop paying the premiums. To start back the premium payment contact the Medicare buy-in unit at: (334) 242-5268 or (334) 353-5773.