Content Overview 
- Summary
- The Benefits Under Each Of The Assistance Programs
- Income And Resource Limits For Financial Assistance
- Eligibility For Medicare Financial Assistance
- Definition of Net Countable Income
- How Do I Enroll In One Of The Medicare Buy-In Plans?
- Federally-funded Health Centers (also known as HRSA Health Centers)
- For Additional Information
Medicare: Financial Assistance (QMB, QWDI, SLIMB)
Income And Resource Limits For Financial Assistance
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The various programs are shown below with their income limits and the benefits they provide. If you meet the requirements listed above, look at the following chart to determine the plans for which your income qualifies you.
You can enroll in the programs at your state Medicaid office.
If you do not qualify for one of these limits, check the limits for Medicaid in your state. The income limits may be higher. You can find contact information for your local Medicaid office at: www.colorado2.com/medicaid/states.html 
If you have HIV, and do not qualify for Medicaid, you may still be eligible for your state's AIDS Drug Assistance Program (ADAP) which has higher income limits. To learn more, see ADAP 101.
2016 Monthly Income Limit (limits vary each year starting January 1] |
Program |
Program Pays Medicare's: |
|||||
|
Individual |
Couple |
||||||
|
48 States (Alaska & Hawaii see below) |
Resources |
48 States (Alaska & Hawaii see below) |
Resources |
||||
|
$1,010 |
$7,280 |
|
$1,355 |
$10,930 |
|
Qualified Medicare Beneficiary (QMB) -pronounced "Quimby" |
Premiums, deductibles, and coinsurance |
|
$1,208 |
$7,280 |
|
$1,622 |
$10,930 |
|
Specified Low Income Beneficiary (SLMB) - pronounced "Slimby" |
Monthly Part B Premium |
|
$1,357 |
$7,280 |
|
$1,823 |
$10,930 |
|
Qualified Individual 1 (QI1) |
Monthly Part B Premium |
|
|
|
|
|
|
|
Qualified Individual 2 (QI2) |
A "small" part of Part B premium, about $7.00/month |
|
$4,045 |
$4,000 |
|
$5,425 |
$6,000 |
|
Qualified Disabled Working Individual (QDWI) Not pronounced |
Only pays Part A premiums of people who have exhausted their Trial Work Period and Extended Period of Eligibility |
* Incomes for Alaska and Hawaii are slightly higher. If your income is close to these amount, it is worth exploring whether you qualify for this program. To find out if you qualify, call your state Medicaid office. You can find the contact information for your local office at www.colorado2.com/medicaid/states.html or you can find the telephone number online at www.medicare.gov , Under "Search Tools" select "Helpful Phone Numbers and Websites" or call Medicare at 800.633.4227.
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