State & federal programs
Qualified Medicare Beneficiary (QMB) Program
Pays Medicare Part A & B premiums, deductibles, and coinsurance for low-income Medicare beneficiaries.
The QMB program helps pay Medicare premiums, deductibles, coinsurance, and copayments for beneficiaries with incomes up to 100% FPL. Providers cannot bill QMB individuals for Medicare cost-sharing.
Who qualifies
A quick look at who this program is designed to help.
Must be enrolled in Medicare Part A. Monthly income must be at or below 100% of the Federal Poverty Level. Limited resources (varies by state). Covers Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments. Providers cannot bill QMB recipients for Medicare cost-sharing.
Where
Income
Age
Conditions
Insurance
Stage of care
What you'll need
Have these ready before you start the application.
- Medicare card, proof of income (Social Security benefit letter, pension statements, pay stubs), proof of resources (bank statements, investment accounts), and identification.
How it works
Apply through your state Medicaid office. Contact 1-800-MEDICARE (1-800-633-4227) to find your state Medicaid office or visit medicare.gov. You can also apply at your local Social Security office. Processing times vary by state.
Ready for the next step?
Visit the program’s website for current instructions. Your matches will be here when you return.