Medicare Savings Program 2010

The following programs administered by local Departments of Social Services and the Human Resources Administration in New York City can assist individuals/couples in paying for their Medicare Premiums.

The income below, except for full Medicaid, includes a $20 exemption.

Full Medicaid for dual eligibles (Individuals eligible for both Medicare and Medicaid)

This program pays for a wide range of medical care, services and supplies as well as premiums, coinsurance and deductible payments for Medicare beneficiaries. The 2010 income and resource requirements for those applicants who are aged, or certified blind or disabled are:

  Income Below Resources Below
Single: $767 per month $13,800
Couple: $1,117 per month $20,100

Qualified Medicare Beneficiary Program (QMB)

This program can pay for the Medicare Part A and/or Part B premium. An individual can be elegible for QMB only or for QMB and Medicaid. This program also pays for the Medicare Parts A and B coinsurance and deductibles. The 2010 income requirements for this program are:

  Income Below
Single: $923 per month
Couple: $1,235 per month

Specified Low Income Medicare Beneficiary Program (SLIMB)

This program pays for the Medicare Part B premium only. Individuals can be eligible for SLIMB only or for SLIMB and Medicaid (with a spenddown). The applicant must have Medicare Part A in order to be eligible for the program. The 2010 income requirements for this program are:

  Income Below
Single: $1,103 per month
Couple: $1,477 per month

Qualified Individual-1 (QI-1)

This program pays for the Medicare Part B premium only. Individuals cannot be eligible for QI-1 and Medicaid. The applicant must have Medicare Part A. States are allotted money for this program on a yearly basis. The 2010 income requirements for this program are:

  Income Below
Single: $1,239 per month
Couple: $1,660 per month

Qualified Disabled and Working Individual (QDWI)

This program pays for the Medicare Part A premium only, not Part B. The applicant must be a disabled worker under age 65 who lost Part A benefits because of return to work. The 2010 income and resource requirements for this program are:

  Income Below Resources Below
Single: $1,825 per month $4,000
Couple: $2,449 per month $6,000

Applications for all of these programs may be obtained from the Medicaid office at the local (county) Department of Social Services. The phone number for the local department of social services may be found in the government pages of the telephone book. Within New York City, the phone number to call for the Medicaid Helpline is 1-888-692-6116. Outside of New York City call 212-639-9675.

Shortened Application Form (PDF, 74KB, 2pg.)