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How does this affect people who currently automatically qualify for extra help?
Date Added : 2007-09-19 

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Some people who automatically qualified for extra help in 2006 will no longer automatically qualify in 2007. People who no longer have both Medicare and Medicaid (full-benefit dual-eligibles), belong to Medicare Savings Programs (partial dual-eligibles), or get Supplemental Security Income (SSI) benefits will no longer automatically qualify for extra help. These people will need to apply to Social Security or their State Medical Assistance (Medicaid) office to see if they still qualify for extra help based on their income and resources.

Other people will continue to automatically qualify for extra help in 2007, but their copayment levels will change. The change in copayment level could result from a change in their Medicaid eligibility.  For example, they may have had a change from one of the following categories to another: having Medicare and Medicaid and residing in an institution; having Medicare and Medicaid; belonging to a Medicare Savings Program; or receiving SSI benefits but not Medicaid.

(Source: U.S. Department of Health & Human Services)



Related FAQs In This Category
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