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Medicare Savings Programs

Medicare Savings Programs
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. 

4 Types of Medicare Savings Programs


You may be eligible for one of the four Medicare Savings Programs. If you have income from working, you still may qualify for these 4 programs even if your income is higher than the income limits listed for each program. 
Need to Know: If your income and resources are slightly higher than the limits listed; you should still apply, because these amounts may increase each year.  


If you qualify for the QMB program, SLMB, or QI program, you automatically qualify to get Extra Help paying for Medicare drug coverage.


•    QMB program: This program supports the payment of Medicare Part A and B premiums for individuals with an income 100% on the Federal Poverty Level (FPL). QMB Plus includes the benefits of QMB as well as full Medicaid benefits.
Program helps pay for: Part A premiums Part B premiums Deductibles, coinsurance, and copayments


•    Specified Low-Income Medicare Beneficiary (SLMB) program: Pays the Part B premiums for individuals with an income >100 percent FPL but <120 FPL. SLMB Plus includes benefits from the SLMB program as well as full Medicaid benefits.
Program helps pay for: Part B premiums only

•    Qualified Disabled Working Individual (QDWI) program: If you return to work and lose your Medicare Part A coverage, you can buy back these benefits if you have an income up to 200% of the FPL.
Program helps pay for:  Part B premiums only

•    Qualifying Individual (QI) program: Receives Medicare Part A benefits and has an income 120% of the FPL <135% of the FPL with no cap on the money given annually.
Program helps pay for:  Part A premiums only

What items are included in the Medicare Savings Program resource limits?

Items that will count towards resource limits include:
•    Money in a checking or savings account
•    Stocks
•    Bonds


Items that will not count towards resource limits include:

•    Your home
•    One car
•    Burial plot
•    Up to $1,500 for burial expenses if you have put that money aside
•    Furniture
•    Other household and personal items

T White Insurance will help you better understand your Medicare coverage options. 

Medicare has neither reviewed nor endorsed this information. Not connected with or endorsed by the United States government or the federal Medicare program.

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