Qualified Medicare Beneficiary (QMB) Program

Per CMS guidelines, the Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries.  

Federal law forbids Medicare providers and suppliers, including pharmacies, from billing people in the QMB program for Medicare cost sharing. Medicare beneficiaries enrolled in the QMB program have no legal obligation to pay Medicare Part A or Part B deductibles, coinsurance or copays for any Medicare-covered items and services. You must not charge a beneficiary enrolled as a QMB for Medicare cost sharing amounts even if their QMB benefit is from a different state than the state where they get care. QMBs can’t elect to pay Medicare deductibles, coinsurance and copayments. 

More information on this CMS program is available at CMS.gov.