A Retired worker over 65 or disabled worker |
B Wife (over 65) of retired or disabled workerd |
B1 Husband of retired or disabled worker |
B2 Wife whose entitlement is dependent on the care of a child |
B3 Second wife |
B4 Second Husband |
B5 Second wife (entitlement is dependent on child) |
B6 Ex-wife (entitlement is dependent on child) |
B7 Third wife (entitlement is dependent on child) |
B8 Third Wife |
B9 Second Ex-wife |
BR Divorce Husband's benefits |
BT Second divorced husband's benefits |
C Child (including a disabled child or a student). Suffixes for these beneficiaries are assigned by age:C1 is the youngest, C2 the next youngest, etc. |
Note: for suffixes A through C, an "h" may appear in front, indicating that the beneficiary is disabled. these benefits are paid for by the disability insurance trust fund, not Medicare. |
D Widower |
D1 Widower |
D2 Second widow |
D3 Second widower |
D4 Widow who remarried after age 60 |
D5 Widower who remarried after age 62 |
D6 Surviving Ex-wife |
D7 Second surviving ex-wife |
D8 Aged widow, third claimant |
D9 Remarried widow who have formerly been B3 |
DA Remarried widow who had formerly been B8 or D8 |
E Widowed Mother |
E1 Mother (Ex-wife) who survives the retired worker |
E2 Second widowed mother |
E3 Second mother (ex-wife) who survives the retired worker |
E4 Widowed father |
E5 Third widow, mother |
E6 Third widow, mother, second claimant |
E7 widow, mother, third claimant |
E9 Third surviving divorce, mother |
F Parent category (the "F" suffix not used alone) for aged dependents |
F1 Father |
F2 Mother |
F3 Stepfather |
F4 Stepmother |
F5 Adopting father |
F6 Adopting mother' |
F7 Second alleged father |
F8 Second alleged mother |
J, K Special beneficiaries whose entitlement depends on the number of quarters of employment they have under social security. |
J1,J2,K1,K2 Entitled to part |
J3,J4, K3, K4 Not entitled to Part A (but may have bought part A Coverage) |
K5 Second Prouty wife entitled to deemed hospital insurance. |
K6 Second Prouty wife entitled to deemed hospital insurance. |
K7 Second Prouty wife not entitled to deemed hospital insurance. |
K8 Second Prouty wife not entitled to deemed hospital insurance. |
W Disabled widow |
W1 Disabled widower |
W2 Second disabled widow |
W3 Second disabled widower |
W6 Disabled surviving ex-wife |
W7 Second disabled surviving ex-wife |
T An individual entitled to Part A benefits, but not to Retirement and Survivor's or Railroad Retirement Insurance, or who is entitled to Medicare based on chronic renal disease will use this number. It applies whether or not the beneficiary elects to receive Part B. |
M An individual enrolled in Part B who is not entitled to Retirement and Survivor's or Railroad Retirement Insurance, and is not eligible for Part A, but may have bought Part A coverage. |
M1 An individual enrolled in Part B only who meets the requirements for Part A but has not applied. |
In Medical billing or Healthcare industry The term QMB stands for Qualified Medicare Beneficiary & MQMB stands for Medicare Qualified Medicare Beneficiary. The term "QMB" or "MQMB" on the form indicates the client is a Qualified Medicare Beneficiary (QMB) or a Medicaid Qualified Medicare Beneficiary (MQMB). The Medicare Catastrophic Coverage Act of 1988 requires Medicare premiums, deductibles, and coinsurance payments to be paid for individuals who meet the following criteria: Important: Clients limited to QMB are not eligible for THSteps or THSteps-CCP Medicaid benefits. Note: Clients eligible for STAR+PLUS who have Medicare and Medicaid are MQMBs. Medicaid reimburses for the coinsurance and deductibles as well as Medicaid-only services for the MQMB client. QMBs do not receive Medicaid benefits other than Medicare deductible and coinsurance liabilities. MQMBs do qualify for Medicaid benefits not covered by Medicare in addition ...
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