Health Benefit Resources

Medicare Cost Sharing

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Income Eligibility Guidelines for:

• Medicaid (MAGI and Non-MAGI), Medicaid Buy-In, NYS Essential Plan, Child Health Plus, Medicare Savings Programs

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Medicaid Spenddown

• Best Practices for Medicaid Spenddown

• Medical Bills Summary Chart

  
  

• Documents related to Spenddown

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• MAP-2060: Budget explanation + Choice Letter

• MAP- 931: Explanation of the Surplus Income Program

• MAP-931a: Optional Pay-In Program for Individuals with Surplus Income

• MAP-931b: Agreement to Participate in the Medicaid Pay-In Program

• MAP-931y: Surplus fax Medical Bills (when using this form, be sure to indicate the month(s) of coverage that you want)

• MAP-3107: Third Party payment form

• MAP-2069N: Medical Expenses Paid or Incurred by a Public Program