Eligibility is based on income and assets, and requirements are updated annually.
You can still qualify even if you are working and receiving income.
2025 Income & Asset Limits
QMB – Helps with premiums, deductibles, copays, and coinsurance
| Individual Monthly Income |
Married Couple Monthly Income |
Individual Assets* |
Married Couple Assets* |
| $1,325 |
$1,783 |
$9,660 |
$14,470 |
SLMB – Helps pay Part B premiums
| Individual Monthly Income |
Married Couple Monthly Income |
Individual Assets* |
Married Couple Assets* |
| $1,585 |
$2,135 |
$9,660 |
$14,470 |
QI – Helps pay Part B premiums (apply yearly, first come-first served)
| Individual Monthly Income |
Married Couple Monthly Income |
Individual Assets* |
Married Couple Assets* |
| $1,781 |
$2,400 |
$9,660 |
$14,470 |
QDWI – Helps pay Part A premiums for working, disabled individuals under 65
| Individual Monthly Income |
Married Couple Monthly Income |
Individual Assets* |
Married Couple Assets* |
| $5,302 |
$7,135 |
$4,000 |
$6,000 |
*Assets include bank accounts, stocks, bonds, and similar resources.
Important:
- If you qualify for QMB, providers cannot bill you for Medicare deductibles, copays, or coinsurance.
- With QMB, you won’t pay more than $12.15 for a prescription covered by your Medicare Part D plan.