Medicare Savings Programs

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    Taxonomy Code: NL-5000.5000-700

    Programs that cover all or a portion of Medicare costs for low income Medicare beneficiaries with limited resources/assets. Medicare Savings Programs (MSPs) are administered by Medicaid medical assistance offices, pay all or a portion of Medicare premiums and may pay Medicare deductibles and co-insurance. Included are the Qualified Medicare Beneficiary (QMB) program that pays Medicare premiums, deductibles and co-payments for people with combined incomes that do not exceed 100 percent of the federal poverty level; the Specified Low-Income Beneficiary (SLMB) program that pays Medicare Part B premiums for people with combined incomes between 100 and 120 percent of the federal poverty level; the Qualifying Individuals (QI) program that pays Medicare Part B premiums for people with combined incomes 120 and 135 percent of the federal poverty level; and the Qualified Disabled and Working Individuals (QDWI) program that helps pay the Part A premium for individuals under age 65 who have a disability and are working, have lost their premium-free Part A when they returned to work, are not receiving medical assistance from their state and meet income and resource limits required by their state. The QI program is a limited program (block grant to states), and is available on a first come, first serve basis. Asset/resource limits for these programs are adjusted each year and may vary by state.

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    Service NameDescriptionLocationProgramAgency
    Health Care ServicesProcesses applications for a variety of health insurance programs including Medicaid, Medicaid Managed Care, Family Health Plus (FHP), and Prenatal Care Assistance Program (PCAP), Family Planning Benefits Program (FPBP), Medicaid Buy-In for Working People with Disabilities (MBI-WPD), and the Medicare Savings Program (MSP). Also provides transportation for Medicaid recipients requiring medicaid-covered services.EssexMEDICAIDESSEX COUNTY DEPARTMENT OF SOCIAL SERVICES (DSS)
    Support ServicesRepresentatives from Social Services are available to assist with Medicaid and Medicare Savings Programs applications and food stamps applications.AlbanyBENEFIT ASSISTANCE SATELLITE DAYCOLONIE SENIOR RESOURCES DEPARTMENT

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