Medicare Savings Program (MSP)—Qualified Medicare Beneficiaries (QMBs)

(A) Eligibility Requirements. MSP (Buy-in) QMB coverage is available to Medicare beneficiaries who (1) are entitled to hospital benefits under Medicare Part A; (2) have a countable-income amount (including the income of the spouse with whom they live) that is less than or equal to 190% of the federal poverty level; and (3) meet the universal requirements of MassHealth benefits in accordance with 130 CMR 503.000: Health Care Reform: MassHealth: Universal Eligibility Requirements or 130 CMR 517.000: MassHealth: Universal Eligibility Requirements, as applicable. (B) Benefits. The MassHealth agency pays for Medicare Part A and Part B premiums and for deductibles and coinsurance under Medicare Parts A and B for members who establish eligibility for MSP coverage in accordance with 130 CMR 519.010(A). (C) Start Date. The start date for MSP coverage is the first day of the calendar month following the date of the MassHealth eligibility determination.