What Are Medicare Savings Programs?
Medicare Savings Programs — also called QMB / SLMB / QI / QDWI
Federal programs (QMB, SLMB, QI, QDWI) that help pay Medicare premiums and other costs for people with limited income and resources.
Official source: medicare.gov
Key facts
- QMB (Qualified Medicare Beneficiary): income near 100% of the federal poverty level; pays Part A and B premiums, deductibles, and copays. Providers cannot bill QMB members for Medicare cost sharing.
- SLMB (Specified Low-Income Medicare Beneficiary): income about 100% to 120% of poverty; pays the Part B premium only.
- QI (Qualifying Individual): income about 120% to 135% of poverty; pays the Part B premium. Funded first come, first served each year.
- QDWI (Qualified Disabled and Working Individuals): pays the Part A premium for certain working people with disabilities.
- Apply through your state Medicaid office, not through SSA or Medicare.gov.
Frequently asked questions about Medicare Savings Programs
What are Medicare Savings Programs?+
State programs funded by Medicaid that help lower-income Medicare members pay their Medicare premiums and out-of-pocket costs.
Who qualifies?+
People enrolled in Medicare whose income and resources fall below state limits. There are four programs: QMB, SLMB, QI, and QDWI.
How do I apply?+
Contact your state Medicaid office. You can also call your local State Health Insurance Assistance Program (SHIP) for free help.
Source: medicare.gov