If you’re on Medicare and struggling to cover healthcare costs, there’s good news: government programs exist to help you save money on premiums, deductibles, and more. Many Americans qualify but are unaware of the benefits available through Medicare Savings Programs (MSPs). Here’s a closer look at how these programs work and how you can take advantage of them.
What Are Medicare Savings Programs and How Do They Help?
Medicare Savings Programs are designed to assist low-income Medicare recipients with out-of-pocket expenses. These state-run programs help eligible individuals pay for Medicare premiums and other healthcare costs, reducing the financial burden on seniors and people with disabilities.
There are four key Medicare Savings Programs you should know about:
- Qualified Medicare Beneficiary (QMB) Program: Covers Medicare Part A (hospital insurance) and Part B (medical insurance) premiums, as well as deductibles and copayments.
- Specified Low-Income Medicare Beneficiary (SLMB) Program: Focuses on paying Part B premiums.
- Qualifying Individual (QI) Program: Another program that helps with Part B premiums, but applicants are approved on a first-come, first-served basis.
- Qualified Disabled and Working Individuals (QDWI) Program: Assists certain individuals with disabilities who have returned to work by covering Part A premiums.
How Much Could You Save? Eligibility Explained
The amount of assistance you receive depends on your income and resources. Each program has its own eligibility requirements, and some states may be more flexible in determining who qualifies.
Here’s a quick snapshot of the 2025 federal income and resource limits:
- QMB Program: Individuals earning up to $1,325 per month or couples with $1,783 per month may qualify. Resource limits are $9,660 for individuals and $14,470 for couples.
- SLMB Program: For individuals earning $1,585 per month or couples with $2,135.
- QI Program: Individuals earning $1,781 per month or couples with $2,400 can apply.
- QDWI Program: Higher income limits apply—$5,302 for individuals and $7,135 for couples. Resource limits are lower, set at $4,000 and $6,000, respectively.
If you live in Alaska or Hawaii, note that income limits may be higher. Check with your state’s Medicaid office to confirm specific qualifications.
Applying Is Easier Than You Think
If you believe you’re eligible, here’s how you can get started:
- Contact Your State Medicaid Office: The application process varies by state, so you’ll need to connect with the appropriate office.
- Prepare Documentation: Be ready to provide proof of income, bank statements, and other supporting documents.
- Submit Your Application: Depending on your state, you may be able to apply online, by mail, or in person.
- Wait for Confirmation: Once your application is reviewed, you’ll receive notice of approval and the benefits you qualify for.
Don’t Miss Out on Savings—Take Action Today
With healthcare costs continuing to rise, programs like these can make a huge difference in managing expenses. Many people don’t realize they qualify, so even if you’re unsure, it’s worth checking. A quick call to your state’s Medicaid office could help you unlock significant savings.
