Sunday, November 29, 2015

And Know They Love You




“And you, of the tender years can't know the fears that your elders grew by,
And so please help them with your youth, they seek the truth before they can die.”
Teach Your Children, Crosby Stills Nash & Young

“In a sane, civil, intelligent and moral society, you don’t blame poor
 people for being poor.” Andrew Young

Nearly twenty million senior citizens in America are economically vulnerable.  That is nearly half of all of the country’s elderly.  Furthermore, eight percent of all seniors are home-bound.  A large number of these folks are economically home-bound… too damned poor to go anywhere.

Income from the federal Social Security program, and health insurance benefits from the federal Medicare program, are godsends for economically disadvantaged seniors.  Even so, participation in the Medicare program carries some costs that many enrollees have difficulty meeting:  monthly premiums, co-insurances, and co-payments.

Federal aid programs currently exist to provide cost-sharing relief to eligible enrollees who are economically unable to meet the costs of participating in Medicare.  These programs are collectively known as Medicare Special Needs Programs.
 
The vast majority of the Medicare enrollees who qualify for federal cost-sharing relief do not know that these aid programs exist.  Medicare enrollees who are confined to their homes stand very little chance of EVER knowing that these programs exist.  And that’s just nuts.  This is where we come in… as the bearers of good news.

Eligibility for Medicare cost-sharing relief is predicated on two simple tests:  limits on net income, and on personal assets.  If enrollees pass the standards posed by both tests… they qualify for much needed financial assistance to help pay for Medicare costs.

The following is a summary of the available Medicare Special Needs Programs:

 Medicare Cost Sharing Special Needs
Programs SNP

Medicare Cost Sharing Special Needs Programs help cover some of the costs of services for individuals who enroll in Medicare.  Qualification is based upon both an asset limits test, and an income limits test based upon the current Federal Poverty Level Income.

Current Federal Poverty Level Income:

                1 person - $11,770
                2 people - $15,930

There are 3 different kinds of Medicare Cost Sharing Special Needs Programs.

Qualified Medicare Beneficiaries Program (QMB) pays Medicare Part B premiums and deductibles, the 20% copayment of Medicare approved amounts, and co-payments for Medicare-approved, skilled nursing home care.

How to Qualify:

Your Taxable Net Income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 100% of poverty.  The income of a spouse who is not eligible for QMB is counted.

                You must meet the income limits test:

                1 person - $11,770
                2 people - $15,930

                You must meet the asset limits test:

                1 person - $7,160
                2 people - $10,750

 Specified Low-Income Medicare Beneficiaries (SLMB) pays the Part B Medicare premium only.

How to Qualify:
                                                                                                             
Your Taxable Net Income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 120% of poverty.  The income of a spouse who is not eligible for SLMB is counted.

                You must meet the income limits test:

                1 person $14,124
                2 people $19,116

                You must meet the asset limits test:

                1 person - $7,160
                2 people - $10,750

Qualifying Individuals Program (QI-1) pays the Part B Medicare premium only.

How to Qualify:

Your Taxable Net Income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 135% of poverty.  The income of a spouse who is not eligible for QI-1 is counted.

                You must meet the income limits test:

                1 person - $15,890
                2 people - $ 21,506

                You must meet the asset limits test:

                1 person - $7,160
                2 people - $10,750

There are 2 different kinds of Medicare Cost Sharing Special Needs Programs to help with Medicare Part D prescription drug programs.

Poverty Income Part D Subsidy Program pays the annual deductible, and the monthly premium, and limits prescription co-pays:  generics $2.50 and brand name $6.30.

How to Qualify:

Your Taxable Net Income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 135% of poverty.  The income of a spouse who is not eligible is counted.

                You must meet the income limits test:

                1 person - $15,890
                2 people - $ 21,506

                You must meet the asset limits test:

                1 person - $8,100
                2 people - $12,910


Limited Income Part D Subsidy Program  reduces the annual deductible to $63, reduces the monthly premium on a sliding scale that goes no higher than the national averaged monthly premium, and reduces prescription co-pays to 15%... all the way through to the end of the donut hole.

How to Qualify:

Your Taxable Net Income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 150% of poverty.  The income of a spouse who is not eligible is counted.

                You must meet the income limits test:

                1 person - $17,655
                2 people - $ 23,895

                You must meet the asset limits test:

                1 person - $12,510
                2 people - $ 25,010

This new-found knowledge about Medicare cost-sharing assistance programs lends you the unique power to make a big difference in the lives of needy senior citizens in your own community.  Mother Teresa once counseled, “If you can’t feed a hundred people… then feed just one.”

Well, if you can’t help a hundred needy Medicare enrollees in your hometown, then seek out and educate just one.  Encourage your family, friends, and professional colleagues to do the same.

Teach your parents well.  Nourish them with knowledge, and feed them on your dreams…
and know they love you.

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