Medicare Cost Sharing Programs

Medicare Cost Sharing Programs help cover some of the costs of Medicare services for individuals who qualify for Part A Medicare. There are 3 different kinds of Medicare Cost Sharing Programs.

1. Qualified Medicare Beneficiaries Program (QMB) pays Medicare Part B premiums and deductibles, the 20% co-payment of Medicare approved amounts, and co-payments for Medicare-approved, skilled nursing home care.

How to Qualify:

Your Net Income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 100% of poverty . The income of a spouse who is not eligibile for QMB is counted.

You must meet the asset limits:

1 person - $4,000

2 people - $6,000

2. Specified Low-Income Medicare Beneficiaries (SLMB) pays the Part B Medicare premium only.

How to Qualify:

Your net income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 120% of poverty . The income of a spouse who is not eligible for SLMB is counted.

You must meet the asset limits:

1 person - $4,000

2 people - $6,000

3. Qualifying Individuals Program (QI-1) pays the Part B Medicare premium only.

How to Qualify:

Your net income (after deductions like a $20 income deduction and a portion of your earned income are taken out) must not be more than 135% of poverty . The income of a spouse who is not eligible for QI-1 is counted.

You must meet the asset limits:

1 person - $4,000

2 people - $6,000

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