What are the Medicare Savings Programs?
Medicare Savings Programs (MSPs), also known as Medicare Buy-In programs, are state programs that assist you with paying your Medicare costs. These costs include premiums, deductibles, coinsurance charges, and copayments for Part A and B. There are three main programs*, each with different benefits and eligibility requirements:
| MSP | What does if cover? | What is the income limit? | What is the asset limit? |
|---|---|---|---|
| Qualified Medicare Beneficiary (QMB) |
|
Individual: $1,061
Couple: $1,430 |
Individual: $7,730
Couple: $11,600 |
| Specified Low-income Medicare Beneficiary (SLMB) |
|
Individual: $1,269 Couple: $1,711 |
Individual: $7,730 Couple: $11,600 |
| Qualifying Individual (QI) |
|
Individual: $1,426
Couple: $1,923 |
Individual: $7,730
Couple: $11,600 |
The income and asset limits listed above are the baseline federal income and asset limits for each MSP. Most states use these limits, but some states have different guidelines. For example, Alaska, Connecticut, the District of Columbia (DC), Hawaii, and Maine have higher income limits. Alabama, Arizona, Connecticut, Delaware, DC, Mississippi, New York, and Vermont do not apply asset limits. You should consider applying for the MSP even if you are over the limits, because some income and assets are not counted toward the limits.
How can I apply for an MSP?
To apply for an MSP, you will need to apply to your local Medicaid office or other state agency that receives MSP applications. You or a State Health Insurance Assistance Program (SHIP) counselor can contact the local Medicaid office to learn how to apply. Some state’s applications can be submitted online, while others are submitted through the mail. You will usually need to send in documentation with the application, such as copies of your Social Security card, Medicare card, birth certificate, and/or proof of income and assets.
Once you apply for an MSP, you should hear back from your Medicaid office within about 45 days. If you do not receive a notice, follow up with the office where you applied. If you are approved for the MSP, it can take up to three months for your benefits to start. You will be reimbursed for any premiums you paid during those months.
What other benefits, rights, and protections come with the MSP?
