Medicare Savings Plans

Authored By: Florida Legal Services, Inc.

What is a Medicare Savings Plan?

There are currently three Medicare Savings Plans:

  1. Qualifying Individuals 1 (QI-1) Program 
  2. Special Low Income Medicare Beneficiary (SLMB) Program 
  3. Qualified Medicare Beneficiary (QMB) Program

Visit Medicare Savings Plans: QMB, SLMB & QI-1 to read more about each plan or download the PDF brochure.

What can a Medicare Savings Plan do for me?

Medicare Savings Programs cover Medicare cost-sharing requirements for certain low income Medicare beneficiaries.

 

This includes:

  • Medicare monthly premiums for Parts A & B  
  • Medicare deductibles (just for QMB's)
  • Medicare co-insurance (just for QMB's)

If you are determined eligible for any of the Medicare Savings Plans listed above, you are automatically eligible for the Medicare Part D low income subsidy (LIS or "Extra Help")

Who is eligible for a Medicare Savings Program?

To qualify you must:

  • Be enrolled in Medicare Part A
  • Be a Florida resident
  • Be a U.S. citizen or qualified noncitizen
  • Have a monthly income of $1,386* or less for an individual; $1,872 for a couple.
  • Have assets of $7,560** or less for an individual and $11,340 for a couple 

* If your income includes Social Security, or other unearned income, the state will not count up to $20 of additional income when determining your eligibility. These amounts increase each year.  These amounts include the $20.

** Your home, car and burial fund are not counted toward your asset limit.

How do I apply for a Medicare Savings Program?

You can:

  • Apply at your local Department of Children and Family Services (DCF) office.
  • Visit DCF online to get a Medicare/Medicaid Buy-In Application or download it here (en español).  Then mail or fax your application to DCF.
  • Apply at your local Aging Resource Center (ARC). To find the ARC, call the Elder Helpline at 1-800-963-5337. 

What should happen next?

Once you apply you should get a decision within 45 days of the date of your application.

If you do not, contact your local legal aid for help.


Updated September 15, 2018.

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