Speak with a licensed insurance agent:
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.
There are four different Medicare Savings Programs, each with different income and resource eligibility limits. 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. These are the Medicare Savings Programs eligibility limits for 2022:
Qualified Medicare Beneficiary (QMB): People may qualify if they have income less than 100% of the Federal Poverty Level (FPL) and resources under $8,400 if single, $12,600 if married. If eligible, QMB will cover the Medicare premiums (Part A, if applicable, and Part B), deductibles, copayments and/or coinsurance. Monthly income limits include a $20 general income disregard; Alaska and Hawaii have slightly higher limits:
Specified Low-Income Beneficiary (SLMB): Seniors/adults with disabilities may qualify if they have income between 100-120% FPL and resources under $8,400 if single, $12,600 if married. If eligible, SLMB will cover the Medicare Part B premium ($170.10 in 2022). Monthly income limits include a $20 general income disregard; residents of Alaska and Hawaii have slightly higher income limits:
Qualifying Individual (QI): QI is a limited program (block-grant to states), and is available on a first-come, first-serve basis. People with Medicare may qualify if they have income between 120-135% FPL and resources under $8,400 if single, $12,600 if married. If eligible, QI will cover the Medicare Part B premium. Monthly income limits include a $20 general income disregard; Alaska and Hawaii have slightly higher limits:
Qualified Disabled Working Individual (QDWI): Adults under age 65 and disabled but who recently returned to work and are no longer eligible for premium-free Part A may qualify for QDWI. Their income must be at or below 200% FPL and their resources under $4,000 if single, $6,000 if married. However, there are additional earned income disregards that raise the income ceiling for QDWI up to 400% FPL. If eligible, QDWI will cover their Part A premium. Monthly income limits include a $20 general income disregard and a $65 earned income disregard; Alaska and Hawaii have slightly higher limits:
If you qualify for the QMB program, SLMB, or QI program, you automatically qualify to get Extra Help paying for Medicare drug coverage.
Note: The limits above are federal guidelines. Some states may choose to increase these federal guideline amounts or eliminate the resource test all together. Refer to your state eligibility rules.
To qualify for an MSP, you must have Medicare Part A and meet income and asset guidelines (note that these guidelines vary by state, and some states do not count assets when determining MSP eligibility). If you do not have Part A but meet QMB eligibility guidelines, your state may have a process to allow you to enroll in Part A and QMB. Many states allow this throughout the year, but others limit when you can enroll in Part A.
In all states, there are certain resources that will never be counted as assets. These include:
Some states may exclude other types of assets as well.
Remember, states use different rules to count your income and assets to determine if you are eligible for an MSP. Examples of income include wages and Social Security benefits you receive. Examples of assets include checking accounts and stocks. Certain income and assets may not count when determining your MSP eligibility. And some states do not have an asset limit. Call your local Medicaid office for Information about Medicare Savings Programs in your area.
Are you feeling overwhelmed by the process of transitioning to Medicare? With its complexities and challenges, enrolling in Medicare can seem like a daunting task for many individuals. However, with the right guidance and strategies, you can navigate this transition seamlessly. Here are seven expert tips to help streamline your journey towards successful Medicare enrollment:Early
Read MoreMedicare Initial Enrollment Period Calculator Medicare Initial Enrollment Period Calculator Enter your Date of Birth: Calculate Disclaimer: The information provided by this Medicare IEP calculator is for general informational purposes only. It is recommended to consult with a qualified healthcare professional before making any decisions related to your Medicare enrollment. The creators of this calculator are
Read More2025 Part D Late Enrollment Penalty Calculator 2025 Part D Late Enrollment Penalty Calculator Enter the number of months you were eligible to enroll but didn’t: Calculate Penalty *This tool is an estimate only and may not be exact Part D Late Enrollment Penalty OverviewThe Part D late enrollment penalty is a permanent addition to
Read MoreThe continuously rising costs of prescription medications have significant implications for Medicare beneficiaries, often imposing financial strain and limiting access to essential treatments. In light of these challenges, it becomes crucial to explore various avenues for reducing expenses while maintaining the necessary standard of care. This article focuses on Eliquis, a widely prescribed anticoagulant, and
Read MoreWelcome to our comprehensive guide on Medicare coverage options. Understanding the various coverage choices available under Medicare is crucial to making informed decisions about your healthcare. In this guide, we will explore the different parts of Medicare, eligibility criteria, enrollment processes, and provide valuable insights to help you navigate the complexities of Medicare coverage. What
Read MoreIn the world of healthcare insurance, understanding the nuances of Medicare Supplement plans is crucial for individuals seeking comprehensive coverage. One common question that arises is whether insurers have the authority to cancel a Medicare Supplement plan. In this article, we will delve into this topic to provide clarity on the regulations and circumstances surrounding
Read MoreCall us
Call Lehigh Partners at 1-833-265-9655
Licensed insurance agents are available to help you through enrollment and beyond.
Tags
As the population ages, there is an increasing need for specialized healthcare services catered towards seniors. Medicare, a federal health insurance program primarily designed for individuals aged 65 and above, plays a crucial role in providing affordable healthcare coverage. However, navigating through the complexities of Medicare can be overwhelming for seniors. This is where Senior
Read MoreMedicare insurance coverage is a critical component of healthcare planning for seniors in the United States. With multiple providers and numerous plans available, it can be overwhelming to find the perfect fit. In this guide, we will explore different Medicare coverage options offered by Humana, Silverscript, Wellcare, Wellpoint, Cigna, and Mutual of Omaha. We will
Read MoreMedicare, as a federal health insurance program in the United States, provides coverage for various medical expenses. However, when it comes to durable medical equipment, such as wheelchair ramps, the coverage might not always be straightforward. This article will explore the extent to which Medicare covers wheelchair ramps, taking into account the necessary criteria, limitations,
Read MoreSign up for Medicare Part A with this step-by-step guide. Learn about eligibility, enrollment periods, and how to fill out the application. Ensure a seamless process to access essential healthcare benefits. Contact the Social Security Administration for further assistance. Medicare Part A provides coverage for inpatient hospital care, skilled nursing facility care, and some home
Read MoreFind the best Medicare rate for enrolling in a Medicare Supplement Plan any time of the year. Don’t miss out! Unlock the Best Medigap Rate with Expert Guidance from Our Agents! TALK TO AN AGENT During the Medicare Annual Election Period (AEP), which brings Medicare to the forefront of thought for individuals of Medicare age,
Read MoreAre you searching for the best Medicare insurance agency in Bethlehem? With a plethora of options available, it can be overwhelming to choose the right agency for your specific needs. In this comprehensive guide, we will walk you through the essential factors to consider and highlight some key characteristics of the finest Medicare insurance agencies
Read MoreIf you are a Medicare beneficiary, you have access to a variety of support resources both locally and online. The U.S. Centers for Medicare & Medicaid Services (CMS) has regional offices with Medicare representatives who can provide education and answer your questions. Additionally, the Social Security Administration (SSA) local offices offer assistance with Medicare applications,
Read MoreMedicare Part A is a part of Original Medicare that primarily covers inpatient hospital care, skilled nursing facility care, hospice care, and home health care. As with most insurance plans, Medicare Part A has certain deductibles and copayments that beneficiaries are responsible for paying before Medicare coverage kicks in. In this article, we will focus
Read More