Quick Answer: A Medicare Savings Program (MSP) is a state-run Medicaid benefit for low-income Medicare enrollees. The four 2026 tiers range from QMB (covers all Part A and B cost-sharing) down to QI (Part B premium of $202.90/month only). Eligibility uses the [federal poverty level](/federal-poverty-level) plus a 2026 asset limit of $9,950 individual / $14,910 couple.
Annual Medicare Savings Program (MSP) Limits
Current annual limits| Tier | Who Qualifies (2026 monthly income) | What MSP Pays |
|---|
| QMB | Individual $1,350 / Couple $1,824 (up to 100% FPL) | Part A + B premiums, deductibles, and copays |
| SLMB | Individual $1,616 / Couple $2,184 (101-120% FPL) | Part B premium only ($202.90/mo in 2026) |
| QI | Individual $1,816 / Couple $2,455 (121-135% FPL) | Part B premium only; limited slots, first-come basis |
| QDWI | Individual $5,405 (disabled working individuals) | Part A premium only |
2026 federal limits per SSA POMS HI 00815.023. Asset limits apply: $9,950 individual / $14,910 couple. Some states have higher or no asset limits.
Source: https://secure.ssa.gov/poms.nsf/lnx/0600815023
MSP vs Extra Help: Two Different Programs
MSP covers Part A and B costs; Extra Help (the Low Income Subsidy) covers Part D drug costs. You can qualify for both simultaneously. QMB enrollment automatically qualifies you for Extra Help, and both are administered through your state Medicaid office. Check your medicare eligibility status before applying to confirm you are enrolled in Part A and Part B.
Frequently Asked Questions
What does QMB pay in 2026?
QMB pays your Medicare Part A and Part B premiums, deductibles, and copays. In 2026, that includes the $202.90/month Part B premium and the $1,736 Part A inpatient deductible. Providers may not bill QMB beneficiaries for Medicare cost-sharing amounts.
What are the 2026 asset limits for MSPs?
The 2026 federal asset limit is $9,950 individual / $14,910 couple (QMB, SLMB, QI). QDWI limits are $4,000 / $6,000. Several states, including Connecticut, Delaware, and Maine, have eliminated the asset test. California allows up to $130,000 individual.
How do I apply for a Medicare Savings Program?
Apply through your state Medicaid office. Visit [medicaid.gov](https://www.medicaid.gov) for state-by-state links, or call 1-800-MEDICARE. Bring proof of income, your Medicare card, and bank statements. There is no federal enrollment period; you may apply year-round.
Do MSPs vary by state?
Yes. All states offer QMB, SLMB, and QI at minimum. Some states extend income limits above the federal floor or eliminate the asset test. The [medicaid income limits](/medicaid-income-limits) page shows state-specific thresholds.
