Medicare Ratings Guide

Category: Uncategorized

  • Medicare and Medicaid Dual Eligibility in Massachusetts 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Massachusetts: Key Facts

    Dual Eligible Population Approximately 11% of Massachusetts Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Massachusetts Medicaid Agency MassHealth
    Phone 617-624-6000

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Massachusetts, approximately 11% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Massachusetts

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Massachusetts that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Massachusetts

    Full dual eligible beneficiaries in Massachusetts receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Massachusetts Medicaid program)

    How to Apply for Dual Eligibility in Massachusetts

    To apply for Medicaid in Massachusetts and potentially qualify for dual eligibility, contact the MassHealth at 617-624-6000. You can also apply online through Massachusetts’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Massachusetts

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Massachusetts, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Maryland 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Maryland: Key Facts

    Dual Eligible Population Approximately 12% of Maryland Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Maryland Medicaid Agency Maryland Department of Health
    Phone 410-767-5800

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Maryland, approximately 12% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Maryland

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Maryland that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Maryland

    Full dual eligible beneficiaries in Maryland receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Maryland Medicaid program)

    How to Apply for Dual Eligibility in Maryland

    To apply for Medicaid in Maryland and potentially qualify for dual eligibility, contact the Maryland Department of Health at 410-767-5800. You can also apply online through Maryland’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Maryland

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Maryland, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Maine 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Maine: Key Facts

    Dual Eligible Population Approximately 8% of Maine Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Maine Medicaid Agency Maine Department of Health and Human Services
    Phone 207-287-3707

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Maine, approximately 8% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Maine

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Maine that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Maine

    Full dual eligible beneficiaries in Maine receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Maine Medicaid program)

    How to Apply for Dual Eligibility in Maine

    To apply for Medicaid in Maine and potentially qualify for dual eligibility, contact the Maine Department of Health and Human Services at 207-287-3707. You can also apply online through Maine’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Maine

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Maine, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Louisiana 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Louisiana: Key Facts

    Dual Eligible Population Approximately 16% of Louisiana Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Louisiana Medicaid Agency Louisiana Department of Health
    Phone 225-342-9500

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Louisiana, approximately 16% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Louisiana

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Louisiana that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Louisiana

    Full dual eligible beneficiaries in Louisiana receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Louisiana Medicaid program)

    How to Apply for Dual Eligibility in Louisiana

    To apply for Medicaid in Louisiana and potentially qualify for dual eligibility, contact the Louisiana Department of Health at 225-342-9500. You can also apply online through Louisiana’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Louisiana

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Louisiana, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Kentucky 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Kentucky: Key Facts

    Dual Eligible Population Approximately 13% of Kentucky Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Kentucky Medicaid Agency Kentucky Cabinet for Health and Family Services
    Phone 502-564-4321

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Kentucky, approximately 13% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Kentucky

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Kentucky that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Kentucky

    Full dual eligible beneficiaries in Kentucky receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Kentucky Medicaid program)

    How to Apply for Dual Eligibility in Kentucky

    To apply for Medicaid in Kentucky and potentially qualify for dual eligibility, contact the Kentucky Cabinet for Health and Family Services at 502-564-4321. You can also apply online through Kentucky’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Kentucky

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Kentucky, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Kansas 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Kansas: Key Facts

    Dual Eligible Population Approximately 8% of Kansas Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Kansas Medicaid Agency Kansas Department of Health and Environment
    Phone 785-296-3981

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Kansas, approximately 8% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Kansas

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Kansas that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Kansas

    Full dual eligible beneficiaries in Kansas receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Kansas Medicaid program)

    How to Apply for Dual Eligibility in Kansas

    To apply for Medicaid in Kansas and potentially qualify for dual eligibility, contact the Kansas Department of Health and Environment at 785-296-3981. You can also apply online through Kansas’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Kansas

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Kansas, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Iowa 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Iowa: Key Facts

    Dual Eligible Population Approximately 9% of Iowa Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Iowa Medicaid Agency Iowa Department of Human Services
    Phone 515-327-5831

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Iowa, approximately 9% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Iowa

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Iowa that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Iowa

    Full dual eligible beneficiaries in Iowa receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Iowa Medicaid program)

    How to Apply for Dual Eligibility in Iowa

    To apply for Medicaid in Iowa and potentially qualify for dual eligibility, contact the Iowa Department of Human Services at 515-327-5831. You can also apply online through Iowa’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Iowa

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Iowa, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Indiana 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Indiana: Key Facts

    Dual Eligible Population Approximately 12% of Indiana Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Indiana Medicaid Agency Indiana Family and Social Services Administration
    Phone 317-232-4966

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Indiana, approximately 12% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Indiana

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Indiana that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Indiana

    Full dual eligible beneficiaries in Indiana receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Indiana Medicaid program)

    How to Apply for Dual Eligibility in Indiana

    To apply for Medicaid in Indiana and potentially qualify for dual eligibility, contact the Indiana Family and Social Services Administration at 317-232-4966. You can also apply online through Indiana’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Indiana

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Indiana, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Illinois 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Illinois: Key Facts

    Dual Eligible Population Approximately 16% of Illinois Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Illinois Medicaid Agency Illinois Department of Healthcare and Family Services
    Phone 217-782-2570

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Illinois, approximately 16% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Illinois

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Illinois that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Illinois

    Full dual eligible beneficiaries in Illinois receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Illinois Medicaid program)

    How to Apply for Dual Eligibility in Illinois

    To apply for Medicaid in Illinois and potentially qualify for dual eligibility, contact the Illinois Department of Healthcare and Family Services at 217-782-2570. You can also apply online through Illinois’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Illinois

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Illinois, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.

  • Medicare and Medicaid Dual Eligibility in Idaho 2026: Income Limits, Benefits & How to Apply

    Dual Eligibility in Idaho: Key Facts

    Dual Eligible Population Approximately 8% of Idaho Medicare beneficiaries
    QMB Income Limit (Individual) $1,255/month (100% FPL)
    SLMB Income Limit (Individual) $1,694/month (120% FPL)
    Idaho Medicaid Agency Idaho Department of Health and Welfare
    Phone 208-334-5500

    What Is Dual Eligibility?

    Dual eligible beneficiaries are individuals who qualify for both Medicare and Medicaid. In Idaho, approximately 8% of Medicare beneficiaries are also enrolled in Medicaid. Dual eligible beneficiaries receive comprehensive coverage: Medicare covers hospital and medical services, while Medicaid covers additional services including long-term care, dental, vision, and hearing — services that Medicare does not cover. Medicaid also pays some or all of the Medicare premiums, deductibles, and copayments for dual eligible beneficiaries.

    Medicare Savings Programs in Idaho

    Even if you do not qualify for full Medicaid, you may qualify for a Medicare Savings Program (MSP) in Idaho that helps pay your Medicare costs. There are four MSP levels:

    Program Individual Income Limit What It Pays
    Qualified Medicare Beneficiary (QMB) $1,255/month Part A and B premiums, deductibles, and copayments
    Specified Low-Income Medicare Beneficiary (SLMB) $1,694/month Part B premium only
    Qualifying Individual (QI) ~$1,800/month Part B premium only (limited slots)
    Qualified Disabled Working Individual (QDWI) ~$4,615/month Part A premium only

    Benefits of Full Dual Eligibility in Idaho

    Full dual eligible beneficiaries in Idaho receive:

    • $0 Medicare premiums — Medicaid pays your Part A and Part B premiums
    • $0 Medicare deductibles and copayments — Medicaid covers your Medicare cost-sharing
    • Extra Help for Part D — Automatic enrollment in the Low Income Subsidy, capping drug costs at $4.50-$11.20 per prescription
    • Long-term care coverage — Medicaid covers nursing home care and home and community-based services that Medicare does not cover
    • Additional services — Dental, vision, hearing, and transportation (varies by Idaho Medicaid program)

    How to Apply for Dual Eligibility in Idaho

    To apply for Medicaid in Idaho and potentially qualify for dual eligibility, contact the Idaho Department of Health and Welfare at 208-334-5500. You can also apply online through Idaho’s Medicaid portal or through your local Department of Social Services office. If you already have Medicare, applying for Medicaid will not affect your Medicare coverage — it will only add benefits.

    D-SNPs: Dual Eligible Special Needs Plans in Idaho

    Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans specifically designed for dual eligible beneficiaries. In Idaho, D-SNPs coordinate your Medicare and Medicaid benefits through a single plan, often with additional benefits like transportation, over-the-counter allowances, and care coordination. To find D-SNPs available in your county, use Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE.