A person who is eligible to buy-in to Medicare Part A, is disabled, under the age of 65, and has returned to work is eligible to receive assistance on his or her Medicare Part A premium if that person isn’t getting medical assistance from the state and meets the income and resource limits of the program.
A person who is eligible or enrolled in Medicare Part A and meets the requirements of QMB or SLMB, but has excessive income for those programs. A QI has an income between 120 percent and 135 percent of the federal poverty level and may apply for benefits to cover their Medicare Part B premium.
A person who is eligible for Medicare, has an income below 100 percent of the federal poverty level and has limited assets is eligible to receive assistance with Medicare cost sharing. Under the QMB program, state Medicaid agencies are required to pay the cost of Medicare Part A and B premiums, deductibles and coinsurance.
One of 53 groups with which Medicare contracts to monitor hospital use and quality of care received by Medicare patients in a given state or other area.
Years of life saved by a medical technology or service, adjusted to reflect the health quality of those years (as determined by some evaluative measure). QALYs are the most commonly used unit to express results in certain cost-effectiveness analyses. A year of perfect health is considered equal to 1.0 QALY.