There are three general eligibility requirements for the QMB program. To be eligible for the program, an individual must:
- be in SSA QDWI Status
- be enrolled in Part A Medicare (hospital insurance);
- have income not exceeding the QDWI standard of 200% of the Federal Poverty Level (FPL) for assistance group size;
- have resources not exceeding the QDWI resource maximums of $4000 for an individual, and $6000 for a couple (or twice the SSI resource maximums); and
- not be eligible for receive Medicaid on any other basis.
Additionally, the QDWI applicant must also meet the Medical Assistance general eligibility requirements of:
- citizenship/alien status,
- residency, and
- social security number