Maryland Medicare Insurance Plans

The state flag of Maryland | Maryland Medicare Insurance Plans

Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of Maryland.

You have many different options to choose from to get Medicare coverage. All of these plans, aside from Original Medicare, are offered through private insurance companies and can have different out-of-pocket costs. It is best to compare plans in your area to find the right one for your needs.

Maryland Medicare Savings Programs

Costs of Medicare coverage can add up over time, especially if you need frequent medical coverage or fill multiple prescriptions a month. There is no need to worry, you have four Medicare Savings Programs available to help you.

*The following data is from 2016 and is based on federal amounts.  These amounts may increase in 2017.  If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.

  • *Qualified Medicare Beneficiaries (QMBs): Maryland pays all Medicare Part B premiums and Part A and Part B deductibles and copayments for individuals with a monthly income under $1,010 and couples with a combined income under $1,355 per month.
  • *Specified Low-Income Medicare Beneficiaries (SLMBs): The state of Maryland pays for Medicare Part B premiums for individuals with a monthly income under $1,208 and couples with a combined income under $1,622 per month.
  • *Qualified Individuals (QIs): Maryland pays for Medicare Part B premiums for individuals with a monthly income under $1,357 and couples with a combined monthly income under $1,863.
  • *Qualified Disabled and Working Individuals (QDWIs): For individuals with a monthly income under $4,045 and couples with monthly income under $5,425 who lost disability benefits due to earnings and are eligible to enroll in Medicare Part A, the state pays the Medicare Part A premium for up to 48 months.

If  you also need help with your prescription drug costs, you might be able to qualify for the Low-Income Subsidy, also known as the Extra Help program. In 2016, if you are a Maryland resident and you make less than $17,820 a year alone or $24,030 as part of a couple, then you qualify for this extra assistance. Once you are enrolled in the Extra Help program, you will pay a significantly lower amount for your drugs and will not enter the coverage gap.

*Data from medicare.gov

According to ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.

Maryland State Health Insurance Program

If you have any questions or concerns about the Medicare program, you can contact your local Maryland State Health Insurance Program (SHIP). This program offers trained staff and volunteer counselor resources in all 24 counties in Maryland. You can contact your local SHIP with questions regarding:

  • Maryland Medicare (Part A and B)
  • Maryland Medicare Advantage Plans (Part C)
  • Maryland Medicare Prescription Drug Plans (Part D)
  • Maryland Medicare Supplement Insurance (Medigap)
  • Billing problems
  • Appeals and grievances
  • Assistance applying for Medicare Savings Programs
  • Medicare fraud and abuse

To compare Maryland Medicare insurance plans available in your area, contact Medicare Solutions, their licensed sales agents can help you find a plan that best fits your needs.