How do Medicare Savings Programs help with Medicare costs?
Answered by 16 licensed agents
Eligibility can be vary by state. Extra help with Medicare Part D drug costs can by applied for simultaneously with the MSP. Income and resources can also vary by state, however most states use income and resource limits based on the Federal Poverty Level (FPL).
Types of MSPs include:
Qualified Medicare Beneficiary (QMB) which helps pay for Part A and B premiums, and covers cost- sharing for Medicare-covered services.
Specified Low-Income Medicare Beneficiary (SLMB) which helps pay for Part B premiums.
Qualified Individual (QI) which helps pay for Part B premiums.
Qualified Disabled Working Individual (QDWI) which helps part Part A premiums for individuals under age 65 who a disabled and have returned to work recently.
You can apply through your State Medical Assistance office (Medicaid).
Answered by Justin Sonon on March 31, 2025
Broker Licensed in Pa, DE, FL & IL, MD, NJ & SC
Answered by Larry Dalton on April 10, 2025
Broker Licensed in OK & TX
Answered by Ben Washington on April 16, 2025
Broker Licensed in IL, FL, MN, SC, TX & WI
1. Pay Medicare Part B Premiums
All MSPs help pay for the monthly premium for Medicare Part B, which covers doctor visits and outpatient services. In 2025, this premium is typically $174.70/month.
2. Cover Deductibles, Coinsurance, and Copayments
Some MSPs also cover:
Medicare Part A (hospital insurance) premiums (if applicable)
Part A and Part B deductibles
Coinsurance and copayments for services
3. Qualify Automatically for Extra Help with Prescription Drugs
If you're enrolled in an MSP, you automatically qualify for Extra Help, a program that reduces prescription drug costs under Medicare Part D.
Answered by Sherry Rose on May 29, 2025
Broker Licensed in Ga, AL, AR & 5 other states
Answered by Deb Haley on May 27, 2025
Broker Licensed in MA, CT, FL & 10 other states
Answered by Clare Burley on May 26, 2025
Broker Licensed in CO, ID, KS & 6 other states
Here's how they work:
They cover premiums: MSPs help cover the monthly Part A and/or Part B premiums, depending on the specific program.
They reduce out-of-pocket costs: They may help pay for deductibles, coinsurance, and copayments for Medicare-covered services.
They help with prescription drug costs: MSPs often automatically qualify individuals for Extra Help, a program that assists with Medicare Part D (prescription drug) costs.
They can help with extra expenses:
In some cases, MSPs can also help with other health-related expenses beyond standard Medicare costs, such as vision or dental care.
Types of Medicare Savings Programs:
Qualified Medicare Beneficiary (QMB): Helps with Part A and Part B premiums, deductibles, coinsurance, and copayments.
Specified Low-Income Medicare Beneficiary (SLMB): Helps with Part B premiums and automatically qualifies for Extra Help.
Qualifying Individual (QI): Helps with Part B premiums and automatically qualifies for Extra Help.
Eligibility:
Eligibility for MSPs is determined by income and resources, and each program has specific thresholds. The specific requirements vary by state and can be found on the Medicare website or by contacting your local Medicaid office.
In summary: Medicare Savings Programs are designed to make Medicare more affordable for low-income individuals by helping them with premiums, out-of-pocket costs, and prescription drug expenses, according to the Social Security Administration.
Answered by Fred Manas on May 6, 2025
Agent Licensed in NY, CT, DC & 7 other states
Answered by Steve Brauer on April 13, 2025
Broker Licensed in AZ & CA
Answered by Gary Henderson on April 19, 2025
Agent Licensed in TX, AK, AL & 46 other states
Answered by Vachik Chakhbazian on May 25, 2025
Agent Licensed in CA, AL, AR & 22 other states
Answered by Jerry Cohen on April 28, 2025
Broker Licensed in NY
Medicare Part B premiums (which most people pay monthly)
Deductibles
Coinsurance
Copayments
There are four types of Medicare Savings Programs, and eligibility is based on income and assets. If someone qualifies, it could save them hundreds—or even thousands—of dollars each year.
Also, qualifying for an MSP automatically enrolls you in Extra Help, which helps cover prescription drug costs.
Answered by Chuck Winslow on May 17, 2025
Agent Licensed in IN
Answered by Ceranes Lejulus on April 9, 2025
Broker Licensed in FL, AL, AR & 19 other states
Answered by Kimberly Griego on April 16, 2025
Agent Licensed in WA, AZ, CA & 5 other states
Answered by Mark Szymanski on April 10, 2025
Agent Licensed in PA & NJ
Typically, Medicare Savings Programs help to lower or to cover your premiums. They are also set up to help lower or cover deductibles, coinsurance, and the cost of prescription drugs. They are beneficial for both young adults and older adults who might not qualify for Medicaid so I encourage you to speak with your agent and get clarity on which program will work best for your specific needs.
Answered by Jaime Avery on May 28, 2025
Broker Licensed in GA, AL, AZ & 12 other states
Tags: Advice for Seniors The Medicare System
Agents: Share Your Expertise
Have insights or experiences related to this topic? Help others by sharing your knowledge and answering this question.
Seniors: Ask a Question of Your Own
Questions are generally answered within 1 to 3 business days. Receive valuable perspectives from multiple licensed agents and brokers.
Ask a Question