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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 
NC Division of Medical Assistance - High quality health care through Medicaid and Health Choice for Children.

Who is Eligible - Medicaid for Medicare Recipients

Click here to learn more about Medicaid Reform

Medicaid serves Medicare recipients in two ways:

Medicaid does not pay for prescription drugs for people on Medicare. See Medicare Part D: Prescription Drugs and the NCRx.

Medicare-Aid

Medicare-Aid is a free Medicaid program for people who have Medicare and also have limited income and resources. The program can help pay your Medicare premiums, co-payments and deductibles. It is also known as Medicare Savings Program. There are three different levels of Medicare-Aid. All are based on an individual’s countable income.

Comprehensive Medicare-Aid (MQB-Q) covers:

  1. Medicare Part B premium
  2. Medicare Part A premiums (when applicable)
  3. Medicare hospital deductible
  4. Medicare annual deductible
  5. 20% Medicare co-payment
  6. In some cases, if you go into a nursing home, Medicare-Aid covers the first 20 days. Â For more information, see Medicaid for long term care.

Limited Medicare-Aid (MQB-B) covers the Medicare Part B premium

Limited Medicare-Aid Capped Enrollment (MQB-E) also covers the Medicare Part B premium. Funds for this program may be limited.

Medicare-Aid Monthly income limits (Effective 04/2014)

Program

Number in Family

 

1

2

MQB-Q

$973

$1,311

MQB-B

$1,167

$1,573

MQB-E

$1,313

$1,770

Medicare-Aid for Working Individuals with a Disability

Let us help you keep your Medicare Part A coverage.

If you have lost your entitlement to free Medicare Part A benefits because you returned to work and now have earned income, Medicaid has a Medicare-Aid program that may pay your Medicare Part A premium for you.

To be eligible for Medicare-Aid for Working Individuals with a Disability, you must be under 65, disabled, and entitled to enroll in Medicare Part A. Contact your local Department of Social Services (DSS) for more information.

More information is available through the "Consumer Guide: Medicare Savings Programs Within North Carolina Medicaid" (PDF, 906 KB)

 

State of North Carolina Home Page
June 26, 2014