State-run Medicare Savings Programs can help people with low incomes pay their Part B premiums. Some of these programs can also help pay Part A premiums for those who aren’t eligible for free Part A. They may cover deductibles, coinsurance and copayments.
To be eligible for a Medicare Savings Program, your income — and sometimes your savings — must be below certain limits, which vary by state. These limits are generally higher than those required to qualify for Medicaid, and some states don’t count your savings.
Certain assets are never included in the calculation, such as your primary residence, one car, household goods and life insurance with a cash value of less than $1,500. Some states may exclude other assets, too. As of December 2021, nine states — Alabama, Arizona, Connecticut, Delaware, Louisiana, Mississippi, New York, Oregon and Vermont — and the District of Columbia did not limit the amount of assets people may own to be eligible for their Medicare Savings Programs.
The subsidies can help you pay your Part A premiums if you have them and Part B premiums, whether you have original Medicare or Medicare Advantage.
People who are 65 and older and younger adults with disabilities who are enrolled in Medicare but don’t qualify for Medicaid also may be eligible for the following programs:
• The Qualified Medicare Beneficiary Program pays your premiums, deductibles, coinsurance and copayments for Parts A and B and Medicare Advantage plans. For those in original Medicare, it operates like a Medigap plan. In most states, you can qualify if your gross monthly income in 2022 doesn’t exceed $1,153 for individuals or $1,546 for couples. And in most states, individuals can’t have more than $8,400 in assets and couples can’t have more than $12,600 in assets.
• The Specified Low-Income Medicare Beneficiary Program pays Part B premiums. In most states, you can qualify if your gross monthly income in 2022 doesn’t exceed $1,379 for individuals and $1,851 for couples. And in most states, individuals can’t have more than $8,400 in assets and couples can’t have more than $12,600 in assets.
• The Qualifying Individual Program pays Part B premiums with a slightly higher income limit than the Specified Low-Income Medicare Beneficiary Program. In most states, you can qualify if your gross monthly income in 2022 doesn’t exceed $1,549 for individuals and $2,080 for couples. And in most states, individuals can’t have more than $8,400 in assets and couples can’t have more than $12,600 in assets.
In addition to these benefits, if you qualify for any of the three Medicare Savings Programs above, you are automatically eligible for Extra Help, which helps cover Part D prescription drug plan premiums and out-of-pocket costs. If you receive a late-enrollment penalty for Part B, it will be waived.
A fourth Medicare Savings Program, the Qualified Disabled and Working Individuals Program, is designed specifically for people with disabilities who have returned to work, lost Social Security disability benefits and don’t qualify for premium-free Part A of Medicare because they’re working again. In most states, its monthly income limits in 2022 are $4,615 for individuals, $6,188 for couples. Its asset limits in most states are $4,000 for individuals and $6,000 for couples.