Generally, individuals must apply for buy-in benefits at local welfare or Medicaid offices in their state. Requirements For Individual Buy-in Programs 1. States must purchase Part A for eligible QMBs who do not receive it premium-free. In addition, eligible individuals are entitled to have their state Medicaid program pay their Part B premium, and Part A and Part B deductibles and co-insurance amounts. The provider cannot charge the QMB the difference.
Benefits are available in the first month after eligibility has been determined.
QDWIs are entitled to have the state pay their Part A premium only. SLMBs are entitled to have the state pay their Part B premium only. They are called QI-1s. They are called QI-2s. Telephone conversation between Patricia Nemore and Marilyn Moon, Urban Institute, October 3, 1997.