What are the eligibility requirements for E-SLMB?

You could be eligible as an Expanded Specified Low-Income Medicare beneficiary if you: 

  • Have both Part A and Part B of Medicare
  • Have net countable monthly income that exceeds 120% of the federal poverty level for the family size but is less than 135% of this level
  • Have resources less than the program limits (see chart below)
  • Member does not qualify for any other kind of Medicaid.

What services are covered by E-SLMB?

Medicaid will pay the cost of the Medicare Part B premiums for Expanded Specified Low-Income Medicare Beneficiaries (E-SLMBs). Part B premiums are the only service Medicaid offers for this group. Medicare copayments, deductibles, and Part A premiums are not covered. Medicare refers to the E-SLMB group as a β€œMedicare Savings Program (link back to original MSP page).”

ESLMB Monthly Income and Resource Limits for 2024:

Monthly Income Limit
FOR FAMILY SIZE:INCOME OVER:BUT LESS THAN:RESOURCE LIMIT:
Individual$1,506$1,695$9,430
Married Couple$2,044$2,300$14,130