MEDICARE SAVINGS PROGRAMS INCOME LIMITS

      

                                                2019

                       4 kinds of Medicare Savings Programs


1.  Qualified Medicare Beneficiary (QMB) Program

QMB income & resource limits in 2019:

Individual monthly income limit*

$1,061

Married couple monthly income limit*

$1,430

Individual resource limit

$7,730

Married couple resource limit

$11,600

Program helps pay for:

· Part A premiums

· Part B premiums

· Deductibles, coinsurance, and copayments

Note

Medicare providers aren’t allowed to bill you for Medicare deductibles, coinsurance, and copayments when you get services and items Medicare covers, except outpatient prescription drugs. Pharmacists may charge you up to a limited amount (no more than $3.70 in 2018) for prescription drugs covered by Medicare Part D. To make sure your provider knows you have QMB, show both your Medicare and Medicaid or QMB card each time you get care. If you get a bill for medical care Medicare covers, call your provider or plan about the charges. Tell them that you have QMB and can’t be charged for Medicare deductibles, coinsurance and copayments. If this doesn’t resolve the billing problem,

call us at 1-800-MEDICARE (1-800-633-4227).



2. Specified Low-Income Medicare Beneficiary (SLMB) Program

SLMB income & resource limits in 2019:

Individual monthly income limit*

$1,269

Married couple monthly income limit*

$1,711

Individual resource limit

$7,730

Married couple resource limit

$11,600

Program helps pay for:

Part B premiums only



3.  Qualifying Individual (QI) Program

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 2019:

Individual monthly income limit*

$1,426

Married couple monthly income limit*

$1,923

Individual resource limit

$7,730

Married couple resource limit

$11,600

Program helps pay for:

Part B premiums only



4. 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:

· You're a working disabled person under 65

· You lost your premium-free Part A when you went back to work

· You aren't getting medical assistance from your state

· You meet the income and resource limits required by your state

QDWI income & resource limits in 2019:

Individual monthly income limit*

$4,249

Married couple monthly income limit

$5,722

Individual resource limit

$4,000

Married couple resource limit

$6,000

Program helps pay for:

Part A premiums only

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