0865.000.00 Qualified Medicare Beneficiaries (QMB)

0865.015.15 Services Not Covered Under QMB

IM-55 June 2, 2023

QMB-only recipients will not have MO HealthNet coverage for services not covered by Medicare. Not covered are:

  • prescription drugs
  • nursing facility services not certified by Medicare
  • eyeglasses
  • hearing aids
  • dentures, and
  • most dental services.

If staff cannot determine whether a service is covered under the QMB program, staff may call the MO HealthNet Division Provider Communications Unit at the following telephone number: 573-751-2896. This number is not to be given out to participants or to the public.