U.S. Medicare Savings Programs Eligibility
Program eligibility criteria (income and asset tests) for Medicare premium and cost-sharing benefits under the Medicare Savings Programs
Eligibility and Benefits for the Medicare Savings Programs: Qualified Medicare Beneficiaries (QMB-Only), 2022
FPL is federal poverty level, which was $13,590/individual and $18,310/couple in 2022; N/A is not applicable; Prem. references the type of premium assistance the program provides. Full Medicaid benefits refers to coverage of all Medicaid benefits, including long-term services and supports, while partial refers to Medicaid payment of premiums and/or cost sharing but not all Medicaid benefits. States may have different names for the QMB, SLMB, and QI programs. Income and asset disregards are not shown in this table. All states except CT have at least a $20 monthly disregard for unearned income. Other income and asset disregards vary by state. DC only has a QMB program, with expanded eligibility to 300% FPL. MD does not have a QI program because it has expanded eligibility for SLMB to 135% FPL. Alaska and Hawaii have higher income eligibility limits than the 48 contiguous states. Asset limits do not include $1,500 for burial expenses.
Eligibility and Benefits for the Medicare Savings Programs: Qualified Medicare Beneficiaries (QMB-Plus), 2022
FPL is federal poverty level, which was $13,590/individual and $18,310/couple in 2022; N/A is not applicable; Prem. references the type of premium assistance the program provides. Full Medicaid benefits refers to coverage of all Medicaid benefits, including long-term services and supports, while partial refers to Medicaid payment of premiums and/or cost sharing but not all Medicaid benefits. States may have different names for the QMB, SLMB, and QI programs. Income and asset disregards are not shown in this table. All states except CT have at least a $20 monthly disregard for unearned income. Other income and asset disregards vary by state. DC only has a QMB program, with expanded eligibility to 300% FPL. Alaska and Hawaii have higher income eligibility limits than the 48 contiguous states. Asset limits do not include $1,500 for burial expenses. These expanded income and asset limits only apply to Medicare premium and cost-sharing assistance through the Medicare Savings Programs. Beneficiaries still are required to meet state-defined eligibility criteria to receive full Medicaid benefits in their state.
Eligibility and Benefits for the Medicare Savings Programs: Specified Low-Income Medicare Beneficiaries (SLMB-Only), 2022
FPL is federal poverty level, which was $13,590/individual and $18,310/couple in 2022; N/A is not applicable; Prem. references the type of premium assistance the program provides. Full Medicaid benefits refers to coverage of all Medicaid benefits, including long-term services and supports, while partial refers to Medicaid payment of premiums and/or cost sharing but not all Medicaid benefits. States may have different names for the QMB, SLMB, and QI programs. Income and asset disregards are not shown in this table. All states except CT have at least a $20 monthly disregard for unearned income. Other income and asset disregards vary by state. DC only has a QMB program, with expanded eligibility to 300% FPL. MD does not have a QI program because it has expanded eligibility for SLMB to 135% FPL. Alaska and Hawaii have higher income eligibility limits than the 48 contiguous states. Asset limits do not include $1,500 for burial expenses.
Eligibility and Benefits for the Medicare Savings Programs: Specified Low-Income Medicare Beneficiaries (SLMB-Plus), 2022
FPL is federal poverty level, which was $13,590/individual and $18,310/couple in 2022; N/A is not applicable; Prem. references the type of premium assistance the program provides. Full Medicaid benefits refers to coverage of all Medicaid benefits, including long-term services and supports, while partial refers to Medicaid payment of premiums and/or cost sharing but not all Medicaid benefits. States may have different names for the QMB, SLMB, and QI programs. Income and asset disregards are not shown in this table. All states except CT have at least a $20 monthly disregard for unearned income. Other income and asset disregards vary by state. DC only has a QMB program, with expanded eligibility to 300% FPL. Alaska and Hawaii have higher income eligibility limits than the 48 contiguous states. Asset limits do not include $1,500 for burial expenses. These expanded income and asset limits only apply to Medicare premium and cost-sharing assistance through the Medicare Savings Programs. Beneficiaries still are required to meet state-defined eligibility criteria to receive full Medicaid benefits in their state.
Eligibility and Benefits for the Medicare Savings Programs: Qualifying Individuals (QI), 2022
FPL is federal poverty level, which was $13,590/individual and $18,310/couple in 2022; N/A is not applicable; Prem. references the type of premium assistance the program provides. Full Medicaid benefits refers to coverage of all Medicaid benefits, including long-term services and supports, while partial refers to Medicaid payment of premiums and/or cost sharing but not all Medicaid benefits. States may have different names for the QMB, SLMB, and QI programs. Income and asset disregards are not shown in this table. All states except CT have at least a $20 monthly disregard for unearned income. Other income and asset disregards vary by state. DC only has a QMB program, with expanded eligibility to 300% FPL. MD does not have a QI program because it has expanded eligibility for SLMB to 135% FPL. Alaska and Hawaii have higher income eligibility limits than the 48 contiguous states. Asset limits do not include $1,500 for burial expenses.