![]() MassHealth pays for the Medicare Part B premium.Specified Low Income Medicare Beneficiaries and Qualifying Individuals (SLMB/QI) You are enrolled in Medicare Part D Extra Help for help with the costs of prescription drugs.You are enrolled in Health Safety Net for coverage at acute care hospitals and community health centers.However, you can still be charged a pharmacy copay. This includes Medicare Advantage Plan providers. Your medical provider is not allowed to bill you for Medicare copays and deductibles.MassHealth also pays for the Medicare Part B premium and pays for some of the costs of things like copays, deductibles, and/or premiums.MassHealth pays for the Medicare Part A premium if you have one (most people do not).These companies decide whether something is medically necessary and should be covered in their area.There are two types of Medicare Savings Programs, depending on your income: Local coverage decisions made by companies in each state that process claims for Medicare.National coverage decisions made by Medicare about whether something is covered.Medicare coverage is based on 3 main factors For less than 30 quarters or 7. Find out if Medicare covers your item, service, or supply. But add 274 to your monthly premium if you paid Medicare taxes for 30 to 39 quarters (7.5 to 9.75 years).The notice says that you may have to pay for the item, service, or supply. If so, you'll have to read and sign a notice. ![]() You may need something that's usually covered but your provider thinks that Medicare won't cover it in your situation.
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