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Medicare Savings Programs
Medicare Savings Programs

Medicare Savings Programs -also known as Medicare Premium Assistance Programs (MPAP)

If you do not qualify for full Medicaid, you may qualify for other assistance programs. There are four kinds of Medicare Savings Programs that help those with low income and asset levels pay for health care coverage. Note: You must meet certain income and asset limits to qualify for these programs.  QMB, SLMB, QI and QDWI programs are not subject to Estate Recovery.

Medicaid

The Medicaid program helps with medical costs and other services for some people with limited income and resources. 

  • All deductibles and coinsurance that Medicare does not pay.
  • Medicare Part B premium: $135.50/month for most people in 2019.

Medicaid Eligibility

  SINGLE MARRIED
Monthly Income $791 $1,177
Total Resources $2,000 $3,000

Qualified Medicare Beneficiary (QMB)

The QMB program serves as a free Medicare supplement policy. QMB pays:

  • All deductibles and coinsurance that Medicare does not pay.
  • Medicare Part B premium: $135.50/month for most people in 2019.
  SINGLE MARRIED
Monthly Income $1,061 $1,430
Total Resources $7,730 $11,600

Specified Low Income Medicare Beneficiary (SLMB)

The SLMB program has higher limits than QMB. Once you qualify, SLMB pays: 

  • Medicare Part B premium: $135.50/month for most people in 2019.
  • Retroactive Part B premium amounts for each of the past three months.
  SINGLE MARRIED
Monthly Income $1,269 $1,711
Total Resources $7,730 $11,600

Qualified Individual (QI)

Medicaid, QMB and SLMB are guaranteed for those who qualify, but QI benefits are limited. 
QI pays the Medicare Part B premium: 
$135.50/month for most people in 2019.

  SINGLE MARRIED
Monthly Income $1,426 $1,923
Total Resources $7,730 $11,600

Qualified Disabled and Working Individuals (QDWI)

The QDWI program helps pay the Part A premium if you are under 65, disabled and no longer entitled to free Part A solely because you return to work. 

  SINGLE MARRIED
Monthly Income $4,249 $5,722
Total Resources $4,000 $6,000

Applying for Benefits

The Medicaid application determines eligibility to receive benefits from any of the programs listed on this brochure.

  • Get the application from the County Department of Job & Family Services. Complete and return it in person or by mail.
  • An interview may be required. A friend or family member can accompany you.
  • An authorized representative can go to the interview in your place.
  • Benefits cannot be denied due to non-attendance at the interview.

Note: Income amounts include $20 Monthly Income Disregard.