Presbyterian Senior Care (HMO) and Presbyterian MediCare PPO | Fall 2019 | Your Story 3 Medicare Savings Program If you qualify, the Medicare Savings Programs (MSP) will help you pay for the Medicare premiums: ● ● The Part A premium of up to $437 if you did not qualify for premium-free Part A ● ● The Part B premium of $135.50 that may be deducted from your Social Security check ● ● Your Medicare Part B premium of $135.50 is returned to you each month if you qualify for any of the MSPs that pay for Part B ● ● Over one year, that comes to about $1,626 returned to you Qualified Medicare Qualified Disabled and Beneficiary (QMB) Working Individuals (QDWI) Specified Low- Income Medicare Beneficiary (SLMB) Qualifying Individual (QI) Pays Medicare Parts A and B premiums, deductibles, coinsurance, and copayments Pays Medicare Part B premiums Pays Medicare Part B premiums Pays Medicare Part A premiums New Mexico monthly income limits*: • Single: $1,061 • Married: $1,430 New Mexico monthly income limits*: • Single: $1,269 • Married: $1,711 New Mexico monthly income limits*: • Single: $1,426 • Married: $1,923 New Mexico monthly income limits*: • Single: $4,249 • Married: $5,722 *Income and resource limits may change in 2020. Resource limits for QMB, SLMB, & QI: $7,730 single/$11,600 married. Resource for QDWI: $4,000 single/$6,000 married. programs at no cost to you. You can call My Advocate™ at 1-866-851-0324 (for first-time callers) or 1-866-260-8083 (for recertifying callers). Single Married Monthly income: $1,561.25 Monthly income: $2,113.75 Resources/assets: $14,390 Resources/assets: $28,720 You also have the option to contact: ● ● 1-800-Medicare ( 1-800-633-4227 ), 24 hours a day, seven days a week (TTY users call 1-877-486-2048 ) It’s that time of year when you receive changes to your Medicare plan. Please be sure to review your plan information to see how changes to your plan will impact your out-of-pocket costs. We’d like to invite you to an ANOC member event If you would like to join us at our Albuquerque, Santa Fe or Belen meetings, we will review these changes and answer your questions. Contact us to make your reservation! If you did not receive your packet in the mail, call us at the number at right. We are happy to get the information you need. Do youwant to learnmore about your plan, its benefits, additional services, and available financial assistance? Join us at an event to learn about important changes to your health plan for 2020. While the changes are explained in your Annual Notice of Change (ANOC) packet, we encourage you to join us in person to hear more about them. Every year, hundreds of members come to these events to get their questions answered. Reasons to attend an ANOC member event this year include: ● ● Learn the details about the changes to your plan ● ● Resources such as My Advocate ® and SilverSneakers ® ● ● Light refreshments Make your reservation for an ANOC member event today! Online: ● ● For Presbyterian Senior Care (HMO) members, go to: ● ● For MediCare PPO members, go to : https://phs. ● ● Email: ● ● Phone: (505) 923-6060 , 1-800-797-5343 , or TTY: 711 Monday through Sunday, 8 a.m. to 8 p.m. We can’t wait to see you! If you are homebound and unable to attend, please call us for a review of plan changes by phone. Presbyterian Dual Plus (D-SNP) members can contact customer service to find out about plan changes. Changes to your 2020 plans! Beginning in 2020, Presbyterian Senior Care members will have positive improvements to their plans which include: • A reduced copay from $4 to $0 for a one-month supply of Tier 1 preferred generic drugs • A reduced copay from $5 to $0 for outpatient mental health services • A reduced copay from $10 to $0 for diabetic test strips and lancets • A reduced hearing exam through TruHearing ® from $45 to $0 ● ● Social Security at 1-800-772-1213 (TTY users call 1-800-325-0778) ● ● New Mexico Human Services Department (HSD) at 1-888-997-2583 (TTY users call 1-800-659-8331 ) *Income limits may change in 2020. The house you live in, the car you drive, life insurance policies, and burial plots do not count toward the resource/asset limit. Contact Social Security for other income/resource exclusions. Source: Centers for Medicare & Medicaid Services