Qualified Medicare Beneficiary (QMB) Only

AHCCCS QMB – ONLY (Health Program ID #008715)

This Medicare Savings Program pays the member’s Medicare part A premium (when applicable), Medicare Part B premiums, Medicare (or Medicare HMO) Co-Insurance and Medicare Deductibles.

Qualifications

  • Receiving or eligible for Medicare Part A
  • Must be an Arizona resident
  • Must be a U.S. Citizen or Medicaid eligible non-citizen
  • Must apply for pension, disability or retirement benefit, if available
  • Income equal to or less than 100% of the Federal Poverty Level

AHCCCS QMB – ONLY is Medicare Savings Program that pays Medicare Part A premium (when applicable) and Medicare Part B premium. Claim payments are limited to Medicare deductible and/or coinsurance when Medicare pays first. Claims are normally crossed over by Medicare to the AHCCCS Administration. Claims may be directly submitted to the AHCCCS Administration from registered AHCCCS providers with a matching EOMB.

For questions regarding Medicare coverage, call 1-800-MEDICARE.