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Medicare Savings Programs Manual

WG-3 Eligibility Requirements Table

Updated 1/25/18

QMB-BAS

Residency
  • Client must be an Oregon resident

461-120-0010

Social Security Number
  • Client must supply or apply for SSN

461-120-0210

Pursuing and Assigning Benefits/Assets
  • Client must pursue and assign health insurance and other third-party medical benefits (including Medicare), unless there is good cause per 461-120-0350.

461-120-0310
461-120-0330
461-120-0345

  • Client must pursue assets.

461-120-0330

Age
  • Client can be any age.

461-120-0510

Specific Requirements
  • Client must be receiving Medicare hospital insurance under Part A.

461-135-0730

Income Limit
  • Adjusted income must not exceed the QMB-BAS Adjusted Income Standard.

461-155-0290

Resource Limit
  • Resources are not considered in the QMB programs as of January 1, 2016

461-160-0015

QMB-SMB/SMF

Residency
  • Client must be an Oregon resident.

461-120-0010

Social Security Number
  • Client must supply or apply for SSN.

461-120-0210

Pursuing and Assigning Benefits/Assets
  • Client must pursue and assign health insurance and other third-party medical benefits (including Medicare), unless there is good cause per 461-120-0350.

461-120-0310
461-120-0330
461-120-0345

  • Client must pursue assets.

461-120-0330

Age
  • Client can be any age.

461-120-0510

Specific Requirements
  • Client must receive Part A of Medicare.
  • If at SMF income level, may not be receiving any other Medicaid benefit offered by the state

461-135-0730

Income Limit
  • Adjusted income must not be equal to or exceed the SMB/SMF Adjusted Income Standard.

461-155-0295

Resource Limit
  • Resources are not considered in the SMB and SMF programs as of January 1, 2016

461-160-0015


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Oregon Department of Human Services
500 Summer St. NE E02, Salem, OR 97301-1073
Phone: (503) 945-5811
Toll-free: (800) 282-8096 (V/TTY)