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Programs for Medicare Beneficiaries

Qualified Medicare Beneficiary (QMB)

This program pays the Medicare premium for qualified applicants and also pays the 20% co-insurance for Medicare expenses. 

Special Low Income Medicare Beneficiary (SLIMB)

This program pays the Medicare premium only.

QI-1

This is an expansion of the SLIMB program and pays the Medicare premium only.

Resource Limits

Effective April 1 ,2020 resource/asset limit for all of the above programs is $9,360.00 for a single individual and $14,800.00 for a couple. A primary residence and one automobile are not countable.

QWDI

Pays the Medicare premium and any other Medicare cost-sharing expenses determined necessary. Effective April 1, 2020 the resource/asset limit for QWDI is $4,000.00 for an individual and $6,000 for a couple. A primary residence and one automobile are not countable. 

Income Guidelines

 

Single Individual

Couple

QMB

$1,084

$1,457

SLIMB

$1,296

$1,744

QI1

$1,456

$1,960

QWDI

$2,147

$2,894

Low Income Subsidy

$1,595

$2,155

Income guidelines change every year.
Recipients must be eligible for Medicare Part A.

Effective April 1, 2020