Click here to see a video about Medicare Savings Programs.

Eligibility Income Guidelines for Medicare Savings Programs and “Extra Help” Program

Last updated December 2019

Program Name Eligibility Guidelines Benefits
QMB (Qualified Medicare Beneficiary) On Medicare:

Monthly Income: $1,061 (individual) / $1,430 (couple)

Resources: $7,730 (individual) / $11,600 (couple)

excludes home, car, and $1,500 for burial

  •  Part A & Part B premiums, deductibles and copays
  • Extra Help Full Subsidy
SLMB (Specified Low-Income Medicare Beneficiary) On Medicare:

Monthly Income: $1,269 (individual) / $1,711 (couple)

Resources: same as QMB

  • Part B premium
  • Extra Help Full Subsidy
Qualifying Individual (QI)

 

On Medicare:

Monthly Income: $1,426 (individual) / $1,923 (couple)

Resources:same as QMB

  • Part B premium
  • Extra Help Full Subsidy
Medicare Part D (Prescription Drug Program) Extra Help Full Subsidy On Medicare:

Monthly Income: $1,426 (individual) / $1,923 (couple)

Assets: $9,230 (individual) / $14,390 (couple)

excludes home, car, and $1,500 for burial

  • Low or $0 premium
  • $0 deductible
  • $3.40-8.50 copay
  • Most “donut hole” costs eliminated
Medicare Part D (Prescription Drug Program) Extra Help Partial Subsidy On Medicare:

Monthly Income: $1,581 (individual) / $2,134 (couple)

Resources: $14,390 (individual) / $28,720 (couple)

excludes home, car, and $1,500 for burial

  • 25-75% premium reduction
  • $85 annual deductible
  • 15% copay
  • Most “donut hole” costs eliminated