SLMB Plus definition

SLMB Plus means a SLMB who also meets the financial criteria for full Medicaid Coverage. SLMB Plus individuals are entitled to payment of Medicare Part B premiums, plus all benefits available under the Texas State Plan for fully eligible Medicaid recipients.
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SLMB Plus. SLMBs that are entitled to Medicare Part A, have income of greater than 100% FPL, but less than 120% FPL and resources that do not exceed twice the limits for SSI eligibility, and are also eligible for full Medicaid coverage. Such individuals are entitled to Medicaid payment of the Medicare Part B premium, as well as full State Medicaid benefits.
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SLMB Plus is an individual (i) who meets all the financial criteria for SLMBs and who also meets the financial criteria for full Medicaid coverage under the Medicaid State Plan. Under the Medicaid State Plan, a SLMB-Plus is eligible for full Medicaid benefits as well as financial assistance from the Agency in connection with certain Medicare benefits, including payment of Medicare Part B premiums. Medicare cost-sharing obligations may effectively be covered by state Medicaid benefit, but certain conditions must be met, including 1) the service is also covered Medicaid, 2) the provider is also a Medicaid provider, and 3) the Medicaid fee schedule amount is greater than the Medicare amount paid,
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Examples of SLMB Plus in a sentence

  • Members For purposes of this Agreement, High Risk Dual Eligible Members are limited to the following categories of recipients: QMB Plus and SLMB Plus.

  • This includes Qualified Medicare Beneficiaries with full Medicaid (QMB Plus) and Specified Low-Income Medicare Beneficiaries with full Medicaid (SLMB Plus) aged 65 or older and with MassHealth Standard coverage.

  • These individuals are considered to be Full Benefit Dual Eligible Members, and include Qualified Medicare Beneficiary Plus (QMB Plus), Specified Low-Income Medicare Beneficiary Plus (SLMB Plus) and Other Full Benefit Dual Eligible (Other FBDE) populations.

  • This includes Qualified Medicare Beneficiaries with full Medicaid (QMB Plus) and Low-Income Medicare Beneficiaries with full Medicaid (SLMB Plus) aged 65 or older and with MassHealth Standard coverage.

  • SLMB Plus individuals are entitled to payment of Medicare Part B premiums, plus all benefits available under the Washington State Plan for fully eligible Medicaid recipients.

  • For purposes of this Contract, Dual Eligibles are limited to the following categories of recipients: QMB Only, QMB Plus, SLMB Plus, and Other Full Benefit Dual Eligible (“FBDE”).

  • The category of SLMBs covered by this Agreement is: • SLMB Plus – SLMBs who also meet the financial criteria for full Medicaid Coverage.

  • SLMB Plus individuals are entitled to payment of Medicare Part B premiums, plus all benefits available under the Georgia State Plan for fully eligible Medicaid recipients.

  • Such individuals may enroll into the Demonstration if they elect to disenroll from their current Medicare Advantage Plan;  The Medicaid Spend-down population who meet the criteria for SLMB Plus;  Individuals with other comprehensive Third Party Insurance; and  Individuals residing outside of the Demonstration counties.


More Definitions of SLMB Plus

SLMB Plus is an individual (i) who meets all the Specified Low-Income Medicare Beneficiary (SLMB) eligibility requirements and who also meets the criteria for full Medicaid benefits under New York’s Medicaid Plan.
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