North State Benefits Enrollment Center

NSBEC Stamp
North State Benefits Enrollment Center
Connecting people in need to benefits

Older women writingAm I eligible?

You may be eligible to receive any of the previously listed benefits if you meet the required guidelines as reported by the National Council on Aging (NCOA).

Call us at (530) 345-9749

Am I considered low income?

Full Low-Income Subsidy (LIS)/Extra Help (2017) - 48 STATES + DC

Beneficiary Group

Annual Income Eligibility Requirement

Monthly Income Eligibility Requirement

Asset Eligibility Requirement

Need to apply for LIS?

Monthly Premium

Annual Deductible

Copay/Coinsurance  Plan’s Formulary Drugs

Full-Benefits Duals: Institutionalized or receiving Home and Community-based Services Meet State Medicaid financial eligibility  Meet State Medicaid financial eligibility Meet State Medicaid financial eligibility 

No, receive it automatically

No No None
Full-Benefit Duals: income < 100% FPL Meet State Medicaid/MSP  financial eligibility Meet State Medicaid/MSP  financial eligibility Meet State Medicaid/MSP financial eligibility

No, receive it automatically

No No Copay: $1.20 generic /$3.70 brand  Catastrophic Copay: $0
Full-Benefit Duals: income > 100% FPL Meet State Medicaid/MSP  financial eligibility Meet State Medicaid/MSP  financial eligibility Meet State Medicaid/MSP  financial eligibility

No, receive it automatically

No No Copay: $3.30 generic/$8.25 brand Catastrophic Copay: $0
Non-duals: income < 135% FPL AND lower asset levels  Single: $16,281/$16,521* Couple: $21,924/$22,164* Single: $1,357/$1,377* Couple: $1,827/$1,847* Single: $7,390/$8,890** Couple: $11,090/$14,090** No, if receiving SSI; otherwise, yes No No Copay: $3.30 generic/$8.25 brand Catastrophic Copay: $0

Partial Low-Income Subsidy (LIS)/Extra Help (2017) - 48 STATES + DC

Beneficiary Group

Income Eligibility Requirement

Monthly Income

Eligibility

Requirement

Asset Eligibility Requirement

Need to apply for LIS?

Monthly Premium

Annual Deductible

Copay/Coinsurance  Plan’s Formulary Drugs

Non duals with income < 135% FPL AND assets between lower and higher limits Single: $16,281/$16,521* Couple: $21,924/$22,164* Single: $1,357/$1,377* Couple: $1,827/$1,847* Single: between $7,390/$8,890 $12,320/$13,820** Couple: between $11,090/$14,090 - $24,600/$27,600** Yes No $74 Coinsurance: 15% Catastrophic Copay: $3.30 generic/$8.25 brand  
Non duals with income between 135-150% FPL Single: $18,090/$18,330* Couple: $24,360/$24,600* Single: $1,508/$1,528* Couple: $2,030/$2,050* Single: $12,320/$13,820** Couple: $24,600/$27,600** Yes Yes, Sliding scale $82 Coinsurance: 15% Catastrophic Copay: $3.30 generic/$8.25 brand  

Low Income Home Energy Assistance Program (LIHEAP)

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Effective Oct. 1, 2016 - Sept. 30, 2017

People in Household

Gross Monthly Income

Maximum CalFresh Allotment*

1

$2,091.92

~$300

2

$2,735.58

~$300

3

$3,379.25

~$300

4

$4,022.92

~$300

5

$4,666.58

~$300

Household = a person living alone or a group of people living together (they do not have to be related) who buy food and make meals together.

Could I be Eligible for LIHEAP?

Yes/No Does your household meet the income eligibility to the left?
Yes/No Is anyone in the household aged 62 or over?
Yes/No Does anyone in the household have a disability?
Yes/No Income source? ________________
Yes/No Does anyone in the household participate in a benefit program? (ie. CalFresh, SSI, TA NF)
Yes/No Does anyone in the household have a child 0-5 years of age?
Depending on your answers to the above questions, you may be eligible to receive about $300 in savings per year off your energy bill. (special eligibility rules may apply)

North State Benefits Enrollment Center 
(530) 345-9749
25 Main St. Suite 201, Chico

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Funded by USDA SNAP, known in California as CalFresh, an equal opportunity provider and employer, and the California Department of Social Services

Calfresh(Supplemental Nutrition Assistance Program – SNAP)

CalFresh Logo 

Effective Oct. 1, 2016 - Sept. 30, 2017

People in Household

Gross Monthly Income

Maximum CalFresh Allotment*

1

$1,980

$194

2

$2,670

$357

3

$3,360

$511

4

$4,050

$649

5

$4,740

$771

6

$5,430

$925

Household = a person living alone or a group of people living together (they do not have to be related) who buy food and make meals together. *Minimum amout is $16/month

Could I be Eligible for Calfresh?

Yes/No Does your household meet the income eligibility to the left?
Yes/No Does anyone in the household receive Supplemental Security Income?
Yes/No Does anyone in the household have a Social Security Number?
Yes/No Is anyone in the household a student? 
Yes/No Is anyone in the household aged 60 or over OR have a disability? If yes, special deductions may apply to increase benefit amount from $16.
Depending on your answers to the above questions, you may be eligible to receive about $300 in savings per year off your energy bill. (special eligibility rules may apply)

Call us to make an appointment or to apply today!
Or Drop in Monday's 10am-4pm at the North State
Benefits Enrollment Center (NSBEC) at the Center for Healthy Communities (CHC)
25 Main St. Suite 201, Chico
(530) 345-9749
Or email us at: CalFreshHelp530@gmail.com

CHC Logo

Funded by USDA SNAP, known in California as CalFresh, an equal opportunity provider and employer, and the California Department of Social Services

Calfresh SNAP

People in Household

Gross Monthly Income

Maximum CalFresh Allotment*

1

$2,091.92

~$300

2

$2,735.58

~$300

3

$3,379.25

~$300

4

$4,022.92

~$300

5

$4,666.58

~$300

Household = a person living alone or a group of people living together (they do not have to be related) who buy food and make meals together.

Medicare Savings Programs (MSPs)

Medicare Savings Programs (MSPs): Eligibility and Coverage (2017)

Type of MSP

Financial Eligibility*

Effective Date of MSP Enrollment

Benefits Covered by the MSP

Qualified Medicare Beneficiary (QMB)

Monthly Income**:  (at or below 100% FPL/+ $20 income disregard per household) $1,005/$1,025 if single $1,354/$1,374 if married   

Alaska $1,255/$1,275 if single $1,691/$1,711 if married   

Hawaii $1,155/$1,175 if single $1,556/$1,576 if married  

Resources^: $7,390 if single, $11,090 if married

The first of the month following the month eligibility is documented.

-- Part A hospital deductible ($1,316/per benefit period)

-- Part A hospital copays: days 61-90 ($329 daily),      days 91-150 ($658 daily)   

-- Part A SNF copays: days 21-100 ($164.50 daily)

-- Part A monthly premium (up to $413)

-- Part B annual deductible ($183)

-- Part B monthly premium ($134)

-- Part B 20% coinsurance (amount varies) 

Specified Low- Income  Medicare Beneficiary (SLMB)

Monthly Income**: (between 100-120% FPL/+ $20 disregard) $1,206/$1,226 if single $1,624/$1,644 if married  

Alaska: $1,506/$1,526 if single $2,029/$2,049 if married  

Hawaii: $1,386/$1,406 if single $1,867/$1,887 if married   

Resources^:  $7,390 if single, $11,090 if married

3 months retroactive from the date of application if your client meets eligibility criteria during those months.   -- Part B monthly premium ($134)
Qualifying Individual (QI)

Monthly Income**: (between 121-135% FPL/+ $20 disregard)  $1,357/$1,377 if single  $1,827/$1,847 if married  

Alaska: $1,695/$1,715 if single $2,283/$2,303 if married  

Hawaii: $1,560/$1,580 if single $2,101/$2,121 if married  

Resources^: $7,390 if single, $11,090 if married

3 months retroactive from the date of application if your client meets eligibility criteria during those months. -- Part B monthly premium ($134)
Qualified Disabled Working Individual (QDWI)     

Monthly Income: $4,105 if single*** $5,499 if married***  

Alaska: $5,105 if single $6,849 if married  

Hawaii: $4,705 if single $6,309 if married  

Resources: $4,000 if single, $6,000 if married

3 months retroactive from the date of application if your client meets eligibility criteria during those months. -- Medicare Part A monthly premium up to $413/month in 2017 (for people with Medicare who are under age 65, disabled, and no longer qualify for free Medicare Part A or Medicaid because they returned to work and their income exceeds the limit)

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