Medicare Savings Program 2016

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 premium, coinsurance and deductible payments for Medicare beneficiaries. The 2016 income and resource requirements for those applicants who are aged, or certified blind or disabled are:

  Income Below Resources Below
Single: $825 per month $14,850
Couple: $1,209 per month $21,750

Note: Medicaid allows a $20 deduction from applicant's gross monthly income for when calculating eligibility for MSP. The income listed below reflects the $20 deduction.

Qualified Medicare Beneficiary Program (QMB)

This program can pay for the Medicare Part A and/or Part B premium. An individual can be eligible for QMB only or for QMB and Medicaid. This program also pays for the Medicare Parts A and B coinsurance and deductibles. The 2016 income requirements for this program are:

  Income Below (100% FPL + $20)
Single: $1,010 per month
Couple: $1,355 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 2016 income requirements for this program are:

  Income Below (120% FPL+ $20)
Single: $1,208 per month
Couple: $1,622 per month

Qualified Individual (QI)

This program pays for the Medicare Part B premium only. Individuals cannot be eligible for QI and Medicaid. The applicant must have Medicare Part A. States are allotted money for this program on a yearly basis. The 2016 income requirements for this program are:

  Income Below (135% FPL + $20)
Single: $1,357 per month
Couple: $1,823 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 2016 income and resource requirements for this program are:

  Income Below (200% FPL + $20) Resources Below
Single: $2,000 per month $4,000
Couple: $2,690 per month $6,000

Applications for these programs may be obtained from the Medicaid office at the local (county) Department of Social Services. Or, you may print the application form from the link below. All applications for the Medicare Savings Program must be mailed to the local Department of Social Services where you live. The phone number and address 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.

Medicare Savings Program Application (PDF, 74KB, 2pg.)

OHIP-0013 Rev. 2/16