- Under both programs Part B premiums are put back into the monthly Social Security check, making participants' monthly income increase. - The QMB program will pay the Medicare co-payments and deductibles. For example, if enrolled in the QMB program, the participant does not have to pay the annual part B deductible, the 20% part B co-payment, or the part A hospital deductible. - The participant pays for Medicare services that aren't covered, such as routine physicals and outpatient prescription drugs.