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Simply Explained: Medicare Savings Programs

Reviewed and Updated by Anastasia Iliou,

Medicare Savings Programs

Are you eligible for one of four Medicare Savings Programs? You could be saving hundreds each month by getting help to pay for premiums, deductibles, copayments, and coinsurance.

Medicare Savings Programs, or MSPS, may sometimes be referred to as Medicare Buy-In Programs or Medicare Premium Payment Programs. Enrolling in an MSP means that you will also be automatically enrolled in Extra Help, a program to help you pay for prescription drugs. To qualify, you will need to already be enrolled in Original Medicare, or at least Part A.

MSPs are state Medicaid-funded and based on income and resource level.

Resources include:

  • Money in a checking or savings account
  • Stocks and bonds

Resources do not include:

  • House or car
  • Burial plots
  • Furniture or other personal property

Our guide will help you determine if you are eligible. Ask your agent if you aren’t sure.


The following will determine your eligibility for MSPs:

  1. QMB (Qualified Medicare Beneficiary) Program – Pays for Part A&B premiums, deductibles, coinsurance, and copayments.
    • Single monthly income of less than $1,010
    • Married monthly income of less than $1,355
    • Single resources of less than $7,280
    • Married resources of less than $10,930
  2. SLMB (Specified Low-Income Medicare Beneficiary) Program – Pays for Part B premiums.
    • Single monthly income of less than $1,208
    • Married monthly income of less than $1,622
    • Single resources of less than $7,280
    • Married resources of less than $10,930
  3. QI (Qualifying Individual) Program – Pays for Part B premiums. Must apply every year; first-come, first-serve with priority to renewals. Cannot have QI if you qualify for Medicaid.
    • Single income of less than $1,357
    • Married income of less than $1,823
    • Single resources of less than $7,280
    • Married resources of less than $10,930
  4. QDWI (Qualified Disabled and Working Individuals) Program – Helps pay for Part A premiums
    • Working disabled person under 65
    • Lost premium-free Part A eligibility after returning to work
    • Do not receive state medical assistance
    • Meet state-based income and resource limits
      • Single income limit of a little over $4,000
      • Married income limit of about $5,500
      • Single resource limit of about $4,000
      • Married resource limit of about $6,000

Speak with an agent today if you have questions or aren’t sure if you are eligible for a Medicare Savings Program. Dial 1-844-431-1832.

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