Medicare-Supplementary Medical Insurance Grants

What is the aim of the Medicare-Supplementary Medical Insurance Grants?

To provide medical insurance protection for covered services to persons age 65 or over, to certain disabled persons and to individuals with end-stage renal disease. Enrollment in Part B is voluntary.

Who is Eligible to Apply for the Medicare-Supplementary Medical Insurance Grants?

All persons who are eligible for premium-free hospital insurance benefits (see 93.773), and persons age 65 and older who reside in the United States and are either citizens or aliens lawfully admitted for permanent residence who have resided in the United States continuously during the five years immediately preceding the month in which the application for enrollment is filed, may voluntarily enroll for Part B supplementary medical insurance (SMI). The beneficiary pays a monthly premium and an annual deductible. Beginning in calendar year 2008, the Part B premiums have been set based upon beneficiary income. The calendar year 2010 premiums range from $110.50 to $353.60 per month, though most beneficiaries in 2010 pay $96.40. The annual deductible is $155.00. Some States and other third parties may pay the SMI PART B premium on behalf of qualifying individuals.

How to Apply for the Medicare-Supplementary Medical Insurance Grants?

Telephone or visit the local Social Security Office. Most persons entitled to hospital insurance and already receiving benefits from Social Security or the Railroad Retirement Board are enrolled automatically for supplementary medical insurance. Since the program is voluntary, you may decline coverage. Persons not entitled to hospital insurance must file an application.

How much is the Medicare-Supplementary Medical Insurance Grants?

Generally, with exceptions of certain services, the beneficiary is responsible for meeting the annual $155 deductible before you may begin. Thereafter, Medicare pays a percent of the approved amount of the covered service. For many services, this percentage is 80 percent. For other covered services, the percentage that Medicare pays will vary from 100 percent to 50 percent depending upon the category of service.

Where to Apply for Medicare-Supplementary Medical Insurance Grants?

Headquarters Office
Inga Feldmanayte, 7500 Security Boulevard, Baltimore, Maryland 21207
Phone: (410) 786-5995
Email: Inga.Feldmanayte@cms.hhs.gov
Web Site Address: http://www.cms.hhs.gov

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