Medicaid eligibility requirements for disabled individuals depend on the program being applied for. There are several different Florida Medicaid programs for disabled individuals and each has a different level of coverage. Some programs offer full coverage, while others offer limited coverage or are cost-sharing programs. The common requirements for all programs are that the individual is a U.S. citizen, a Florida resident and has a Social Security Number.
MEDS-AD
MEDS-AD is a full-benefits program for the aged and disabled, but its membership is limited. One of the main qualifications for this program is that the individual has been declared disabled by the Social Security Administration for the purpose of receiving Social Security Income. For this program, being blind itself is not a disability and blind individuals are only eligible if they are also considered disabled. As of 2010, the income limit for one eligible individual was $795 and the limit for two eligible people was $1,069. The asset limit was $5,000 for one eligible individual and $6,000 for two eligible people. In order to qualify, individuals must not have either Medicare Part A or Part B, or if they do, then they must be receiving services from one of the following programs: Institutional Care Program; Hospice, Home and Community Based Services Waiver; or Assistive Care Services.
QMB
QMB stands for Qualified Medicare Beneficiaries and is a limited-benefits program. Recipients may receive help paying their Medicare premiums, deductibles and co-insurance. The main requirement for this program is that the individual must be receiving Medicare Part A. As of 2010, the income limit for one eligible individual was $903 and the limit for two eligible people was $1,215. The asset limit was $6,600 for one eligible individual and $9,910 for two eligible people.
SLMB
SLMB stands for Special Low-Income Medicare Beneficiaries and is a limited-benefits program. Recipients may receive help paying their Medicare Part B premiums. Like QMB, the main requirement for this program is that the individual must be receiving Medicare Part A. As of 2010, the income limit for one eligible individual was $1,083 and the limit for two eligible people was $1,457. The asset limit was $6,600 for one eligible individual and $9,910 for two eligible people.
QI1
QI1 stands for Qualified Individuals 1 and is a limited-benefits program. Recipients may receive help paying their Medicare Part B premiums. Like both QMB and SLMB, the main requirement for this program is that the individual must be receiving Medicare Part A. As of 2010, the income limit for one eligible individual was $1,219 and the limit for two eligible people was $1,640. The asset limit was $6,600 for one eligible individual and $9,910 for two eligible people.
Medically Needy
The Medically Needy program is a cost-sharing program for which eligibility is determined on a month-to-month basis. While there are no income limits for this program, the assets limits are $5,000 for an eligible individual or $6,000 for two eligible people. The individual must have more medical expenses each month than their determined Share of Cost. Share of Cost is calculated by taking one's income and subtracting both the income disregard and the Medically Needy income level. For 2010, the amounts were a $20 income disregard, $180 Medically Needy income level for an individual and $241 Medically Needy income level for two people. Whatever is left is determined as an individual's or couple's Share of Cost.
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