You can get help from your state paying your Medicare premiums. In some cases, Medicare Savings Programs may also pay Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) deductibles, coinsurance, and copayments if you meet certain conditions. These conditions are listed below under "How do I apply for Medicare Savings Programs?"
Qualified Medicare Beneficiary (QMB) Program
The QMB Program is a state program that helps pay Part A premiums, Part B premiums, deductibles, coinsurance, and copays.
QMB income & resource limits in 2021:
Individual monthly income limit: $1,094
Individual resource limit: $7,970
Married couple monthly income limit: $1,472
Married couple resource limit: $11,960
Note:
If you’re eligible, the QMB Program helps pay for Part A and/or Part B premiums. Medicare providers aren’t allowed to bill you for services and items Medicare covers, including deductibles, coinsurance, and copayments, except outpatient prescription drugs. Pharmacists may charge you up to a limited amount (no more than $4.00 in 2021) for prescription drugs covered by Medicare Part D.
If you get a bill for these charges, tell your provider or the debt collector that you’re in the QMB Program and can’t be charged for Medicare deductibles, coinsurance, and copayments. If you’ve already made payments on a bill for services and items Medicare covers, you have the right to a refund. If you’re enrolled in a Medicare Advantage Plan, you should also contact the plan to ask them to stop the charges.
Specified Low-Income Medicare Beneficiary (SLMB)
The SLMB Program is a state program that helps pay Part B premiums for people who have Part A and limited income and resources.
SLMB income & resource limits in 2021:
Individual monthly income limit: $1,308
Individual resource limit: $7,970
Married couple monthly income limit: $1,762
Married couple resource limit: $11,960
Qualifying Individual (QI) Program
The QI Program is a state program that helps pay Part B premiums for people who have Part A and limited income and resources. You must apply every year for QI benefits. QI applications are granted on a first-come, first-served basis, with priority given to people who got QI benefits the previous year. (You can't get QI benefits if you qualify for Medicaid).
QI income & resource limits in 2021:
Individual monthly income limit: $1,469
Individual resource limit: $7,970
Married couple monthly income limit: $1.980
Married couple resource limit: $11,960
Qualified Disabled and Working Individuals (QDWI) Program
The QDWI program helps pay the Part A premium. You may qualify if any of these apply to you:
QDWI income & resource limits in 2021:
Individual monthly income limit: $4,379
Individual resource limit: $4,000
Married couple monthly income limit: $5,892
Married couple individual resource limit: $6,000
If you qualify for the QMB program, SLMB, or QI program, you automatically qualify to get Extra Help paying for Medicare drug coverage.
Note: These amounts may increase each year. If your income and resources are slightly higher, you should still apply.
Countable resources include:
Countable resources don't include:
If you answer yes to these 3 questions, call your State Medicaid Program to see if you qualify for a Medicare Savings Program in your state:
It's important to call or fill out an application if you think you could qualify for savings—even if your income or resources are higher than the amounts listed here.