Medicare Supplementary Medical Insurance

Active

Assistance listing
93.774
Agency
Grant awards
Not on record

Program facts

Also known as
(Medicare Part B)
Treasury account
  • 75-8004-0-7-571
More information

Program details come from SAM.gov Assistance Listings. Updated .

About this program

The Department of Health and Human Services Centers for Medicare and Medicaid Services administers Medicare Supplementary Medical Insurance (CFDA 93.774), which provides voluntary medical insurance coverage for persons age 65 or over, certain disabled persons, and individuals with end-stage renal disease; the program operates on an ongoing enrollment basis with no application deadline.

This is not a discretionary grant program. CFDA 93.774 funds the administrative and claims-payment operations of Part B supplementary medical insurance, a mandatory federal entitlement program, not project-based or competitive grants to external recipients. The program does not award grants to organizations, researchers, or service providers. Instead, it finances the insurance benefits themselves—coverage of physician services, outpatient hospital services, diagnostic tests, durable medical equipment, and related services for eligible beneficiaries who voluntarily enroll and pay monthly premiums.

Eligible enrollees include all persons who qualify for hospital insurance (Part A) under CFDA 93.773, plus persons age 65 and older who reside in the United States as citizens or lawfully admitted permanent residents with five years of continuous residence. Enrollment is voluntary. For calendar year 2025, Part B premiums range from $185.00 to $628.90 per month depending on beneficiary income, with an annual deductible of $257.00. Some states and third parties may pay premiums on behalf of qualifying individuals.

The program includes mandatory audit requirements for providers, suppliers, and Medicare Advantage plans. Beneficiaries may appeal initial coverage determinations through reviews, formal hearings, and in certain cases, federal court review.

Business development professionals should not pursue this program as a funding source. It is an entitlement benefit administration vehicle, not a grants program through which organizations can obtain federal funding for projects, services, or research. Organizations seeking Medicare-related federal funding should instead explore discretionary programs such as Medicare-related demonstration projects, quality improvement initiatives, or provider capacity-building grants listed under separate Assistance Listings.

Objective and description

Objective

To provide medical insurance protection for covered services to persons age 65 or over, to certain disabled persons and to individuals with end-stage renal disease. Enrollment in Part B is voluntary.

Description

To provide medical insurance protection for covered services to persons age 65 or over, to certain disabled persons and to individuals with end-stage renal disease. Enrollment in Part B is voluntary.

Eligibility

Applicant eligibility

All persons who are eligible for premium-free hospital insurance benefits (see 93.773), and persons age 65 and older who reside in the United States and are either citizens or aliens lawfully admitted for permanent residence who have resided in the United States continuously during the five years immediately preceding the month in which the application for enrollment is filed, may voluntarily enroll for Part B supplementary medical insurance (SMI). The beneficiary pays a monthly premium and an annual deductible. Beginning in calendar year 2008, the Part B premiums have been set based upon beneficiary income. The calendar year 2025 premiums range from $185.00 to $628.90 per month. The annual deductible is $257.00. Some States and other third parties may pay the SMI PART B premium on behalf of qualifying individuals.

Beneficiary eligibility

All persons who qualify for hospital insurance, and those who do not qualify for hospital insurance but meet eligibility requirements and choose to purchase Part "B".

Uses of assistance

Managed care benefits are paid on the basis of Medicare capitation rates. Fee-for-service benefits are paid on the basis of fee schedules or other approved amounts for services furnished by physicians and other suppliers of medical services to aged or disabled enrollees. Benefits are paid on the basis of prospective payment systems for certain covered services furnished by participating providers such as hospitals and home health agencies.

How to apply

Award procedure

After review of the application is completed, the applicant will be notified by mail.

Appeals

Telephone or visit the local Social Security Office or the Medicare payment organization responsible for the initial determination. The appeal process ranges from reviews, of the initial determinations to formal hearings and, in cases meeting certain criteria, reviews by Federal courts.

Quick answers

What is Assistance Listing 93.774?

Assistance Listing 93.774 is Medicare Supplementary Medical Insurance, a federal grant program run by Centers for Medicare and Medicaid Services (Department of Health and Human Services).

What is the CFDA number for Medicare Supplementary Medical Insurance?

Its CFDA number is 93.774: Assistance Listing numbers were called CFDA numbers before 2018.

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