: The state pays Part B premiums only.

: Once a person is enrolled in a Medicare Savings Program (MSP), the "Buy-In" typically happens behind the scenes between the state and the Social Security Administration. How the Process Works

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: It prevents the accumulation of unpaid premium debt that could lead to a loss of coverage.

💡 : The State Buy-In program is not a separate insurance plan, but a financial arrangement where the state acts as the "payer of last resort" to keep Medicare active for its most vulnerable citizens.

: If the premium was being deducted from a Social Security check, the "Buy-In" stops that deduction, putting that money back into the beneficiary's pocket.