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Getting help to pay Medicare Part A and/or Part B premiums (the Medicare Savings Programs)

You may be able to get help paying for your Medicare coverage. Some states have programs that can help you pay for premiums, deductibles, and co-pays. There are 4 Medicare Savings Programs:

  • Qualified Medicare Beneficiary (QMB)
  • Specified Low-Income Medicare Beneficiary (SLMB)
  • Qualifying Individual (QI)
  • Qualified Disabled & Working Individuals (QDWI)

If you qualify for one of the first 3 programs you will also be able to get help paying for your Part D drug plan. Call your state Medicaid office to find out what the monthly income limits are, and to see if you qualify. You can get the phone number by calling 1-800-MEDICARE (1-800-633-4227).

The low-income subsidy

The low-income subsidy (LIS) can be a source of extra help to pay for your prescription drug costs if you have a limited income. Call Social Security at 1-800-772-1213 and ask for form SSA-1020 to find out if you qualify for this help.

  • If you qualify for LIS, and you do NOT enroll in a Part D plan, Medicare will automatically enroll you in a plan. You will be sent a letter telling you about the plan you are enrolled in and when coverage begins.
  • If Medicare enrolls you in a plan, you may switch Part D plans at least once in the year you get the subsidy and then during open enrollment (November 15 to December 31).
  • If you get a letter from Medicare saying you no longer automatically qualify for extra help, you should reapply by calling Social Security.

Last Medical Review: 10/23/2008
Last Revised: 10/23/2008

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